Active NPI
Bozena Stasiak Narula, NP
- Family Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0614355
- Practice address
- 3633 Harden Rd Ste 100
Raleigh, NC 27607-3369 - Phone
- (919) 784-3402
- Fax
- (919) 784-6232
- NPI assigned
- Jul 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0614355 | NC | Primary |
Addresses
Primary practice location
3633 Harden Rd Ste 100
Raleigh, NC 27607-3369
Mailing address
110 Preston Executive Dr
Ste 100
Cary, NC 27513-8447
Phone (919) 852-3999
Other names 1
- Bozena Elwira Stasiak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0614355 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
Organizations & group practices 3
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.
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Virtual Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1649687989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PRESTON EXECUTIVE DR",
"address_2": "STE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275138447",
"telephone_number": "919-852-3999",
"fax_number": "919-378-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 HARDEN RD STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276073369",
"telephone_number": "919-784-3402",
"fax_number": "919-784-6232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARULA",
"first_name": "BOZENA",
"middle_name": "STASIAK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-18",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F0614355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOZENA",
"last_name": "STASIAK",
"middle_name": "ELWIRA",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.