Active NPI
Nancy A Bodnar
- Family Nurse Practitioner
- Cary, NC
National Provider Identifier
1194948265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5007558
- Practice address
- 2797 NC Highway 55
Minute Clinic Diagnostic of North Carolina
Cary, NC 27519 - Phone
- (866) 389-2727
- Fax
- (401) 652-9787
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F330138 | NY | |
| Family Nurse Practitioner | 363LF0000X | 5007558 | NC | Primary |
Addresses
Primary practice location
2797 NC Highway 55
Minute Clinic Diagnostic of North Carolina
Cary, NC 27519
Mailing address
2797 NC Highway 55
Minute Clinic Diagnostic of North Carolina
Cary, NC 27518
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F330138 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1194948265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2797 NC HIGHWAY 55",
"address_2": "MINUTE CLINIC DIAGNOSTIC OF NORTH CAROLINA",
"city": "CARY",
"state": "NC",
"postal_code": "27518",
"telephone_number": "866-389-2727",
"fax_number": "401-652-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2797 NC HIGHWAY 55",
"address_2": "MINUTE CLINIC DIAGNOSTIC OF NORTH CAROLINA",
"city": "CARY",
"state": "NC",
"postal_code": "27519",
"telephone_number": "866-389-2727",
"fax_number": "401-652-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODNAR",
"first_name": "NANCY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F330138",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.