Elizabeth Katharine Bodner, ARNP, CNM

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60510330 Issued in WA

Practice address

1530 Ellis St
Bellingham, WA 98225-4905

Phone

(360) 734-9095

Fax

(360) 715-8416

NPI assigned

Oct 8, 2014

Last updated

Oct 8, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Planned Parenthood of Greater Washington and North Idaho

  • Women's Health Nurse Practitioner
  • Bellingham, WA
  • NPI 1790902906
  NPD (past)

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1699178319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254905",
            "telephone_number": "360-734-9095",
            "fax_number": "360-715-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254905",
            "telephone_number": "360-734-9095",
            "fax_number": "360-715-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNER",
        "first_name": "ELIZABETH",
        "middle_name": "KATHARINE",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60510330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Blum, PHARMD
• Wendy Blum
• Julia Blunt, MA ABS
• Simme Bobrosky, B.S.
• James J. Bochsler, M.D.
• Judith Melaine Bodner, LMP
• Body Reflections, PLLC
• Geoffrey Keith Boercker, MD
• Christy Boex, MS, LMHC
• Randy J. Bogard, DMD, MD

• Nurse Practitioner in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.