Alix Bard, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017979 Issued in CA

Practice address

515 South Dr Ste 25
Mountain View, CA 94040-4209

Phone

(650) 964-2200

NPI assigned

Mar 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• SF Bay Area Plastic Surgery

  • Family Nurse Practitioner
  • Mountain View, CA
  • NPI 1396419313

  Single Specialty

  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1588242002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SOUTH DR STE 25",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404209",
            "telephone_number": "650-964-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARD",
        "first_name": "ALIX",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71010996A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@sfbayareaplastics.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "515 South Dr Ste 25",
            "city": "Mountain View",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940404209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jalisa Monique Banks
• Alok Bansal, M.D.
• Zexia Bao
• Ali Barati
• Barbara a. Phelps-Sandall MD Professional Corporation
• John Earle Barnes, MD
• Michael Barnes, MD
• Katrina Barnett
• Charles Lee Barrett, M.D.
• Eric Manuel Barrientos, D.D.S.

• Family Nurse Practitioner in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.