Tara E Bonardi

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

148835 Issued in AK

Practice address

1915 E Rezanof Dr
Kodiak, AK 99615-6602

Phone

(774) 239-4106

NPI assigned

Aug 25, 2019

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Services WashingtonGroup PAC ID 5799675120, shared by 3 NPIs, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.58 of 100Reported as group

Quality

74.05

Improvement activities

40

Cost

56.66

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Care Associates, PC

  • Anesthesiology Physician
  • Palmer, AK
  • NPI 1033160452
  Medicare reassignment NPD
• Anesthesia Consultants of Fairbanks LLC

  • Anesthesiology Physician
  • Fairbanks, AK
  • NPI 1285272260
  Medicare reassignment NPD
• Denali Anesthesia, LLC

  • Anesthesiology Physician
  • Fairbanks, AK
  • NPI 1508854712

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Providence Health & Services Washington

  dba Providence Kodiak Island Medical Center

  • Critical Access Hospital
  • Kodiak, AK
  • NPI 1013905660
  Medicare reassignment NPD
• Providence Health & Services Washington

  dba Providence Kodiak Island Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kodiak, AK
  • NPI 1952430902
  Medicare reassignment NPD
• Solstice Wellness

  • Infusion Therapy Clinic/Center
  • Kodiak, AK
  • NPI 1942158191
  NPD Authorized official
• Providence Health & Services - Washington

  dba Providence Kodiak Home Health

  • Home Health Agency
  • Kodiak, AK
  • NPI 1891899597
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1528615424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 WOODLAND DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996157017",
            "telephone_number": "774-239-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156602",
            "telephone_number": "774-239-4106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 W Rezanof Dr",
            "address_purpose": "LOCATION",
            "city": "Kodiak",
            "state": "AK",
            "postal_code": "996156044",
            "country_code": "US",
            "telephone_number": "774-239-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONARDI",
        "first_name": "TARA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "148835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Dorian Bennett-Melendez
• Jenna Beth Black, M.S., CCC-SLP
• Georgia J Blain
• Rae Jean Blaschka, NP
• Esther Abigail Bold, MA, LPC, LADC
• Laura Marie Bostwick
• Heather Rebecca Botnen, R.D.H.
• Arwen Caitlin Botz
• Kelly Viktorin Bowley, RN
• Angela Louise Bowling

• Certified Registered Nurse Anesthetist in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Certified Registered Nurse Anesthetist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.