Active NPI
Bonnie Cardona Stockton, ARNP
- Nurse Practitioner
- Monticello, KY
National Provider Identifier
1659327591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3006P
- Practice address
- 1 S Creek Dr Ste 102
Monticello, KY 42633-9472 - Phone
- (606) 348-3365
- Fax
- (606) 348-8496
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3006P | KY | Primary |
Addresses
Primary practice location
1 S Creek Dr Ste 102
Monticello, KY 42633-9472
Mailing address
1 S Creek Dr Ste 102
Monticello, KY 42633-9472
Phone (606) 348-3365
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610847215 | Other | KY | CENTER CARE HEALTH BENE |
| 610847215001 | Other | KY | TRICARE |
| 000000204626 | Other | KY | ANTHEM BC & BS |
| 610847215 | Other | KY | CHA HEALTH |
| 000000061965 | Other | KY | ANTHEM BC & BS |
| 78003878 | Medicaid | KY |
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 |
|---|---|---|---|
| 3006P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anciro PSC | Past | Accepting new patients |
Interoperability endpoints
- bonniestockton@mmaky.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Somerset, KY
- NPI 1932118916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1659327591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S CREEK DR STE 102",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426339472",
"telephone_number": "606-348-3365",
"fax_number": "606-348-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S CREEK DR STE 102",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426339472",
"telephone_number": "606-348-3365",
"fax_number": "606-348-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKTON",
"first_name": "BONNIE",
"middle_name": "CARDONA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3006P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENTER CARE HEALTH BENE",
"identifier": "610847215",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "610847215001",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS",
"identifier": "000000204626",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA HEALTH",
"identifier": "610847215",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS",
"identifier": "000000061965",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78003878",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.