Active NPI
Bonnie Marie Bird, MS, FNP
- Family Nurse Practitioner
- Newport, OR
National Provider Identifier
1720079643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200850004 NP
- Practice address
- 1010 SW Coast Hwy Ste 203
Newport, OR 97365-5215 - Phone
- (541) 265-4947
- Fax
- (541) 994-0261
- NPI assigned
- Oct 31, 2005
- 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 | 200850004 NP | OR | Primary |
Addresses
Primary practice location
1010 SW Coast Hwy Ste 203
Newport, OR 97365-5215
Mailing address
PO Box 330
Newport, OR 97365-0026
Phone (541) 351-1010
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200850004 NP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1720079643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973650026",
"telephone_number": "541-351-1010",
"fax_number": "541-574-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SW COAST HWY STE 203",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973655215",
"telephone_number": "541-265-4947",
"fax_number": "541-994-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "BONNIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200850004 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.