Individual provider Active NPI

Erin Arnold Bishop, ARNP-BC

  • Nurse Practitioner
  • Bend, OR
National Provider Identifier
1720165541
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9196869 Issued in FL
Practice address
155 SW Century Dr Ste 111
Bend, OR 97702-1657
Phone
(458) 206-3331
Fax
(620) 506-4777
NPI assigned
Nov 1, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9196869 FL Primary

Addresses

Primary practice location

155 SW Century Dr Ste 111
Bend, OR 97702-1657

Mailing address

19657 Aspen Ridge Dr
Bend, OR 97702-3366
Phone (561) 676-6121

Other practice location 1

19657 Aspen Ridge Dr
Bend, OR 97702-3366
Phone (561) 676-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9196869FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Functional Medicine LLC Current Accepting new patients
Boca Medical Specialists, Inc Past Accepting new patients

Locations

151 SW Shevlin Hixon Dr
Ste 101
Bend, OR 97702
Phone (541) 797-6346

155 SW Century Dr
Ste 111
Bend, OR 97702
Phone (541) 318-4700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720165541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19657 ASPEN RIDGE DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023366",
            "telephone_number": "561-676-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SW CENTURY DR STE 111",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021657",
            "telephone_number": "458-206-3331",
            "fax_number": "620-506-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19657 Aspen Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023366",
            "country_code": "US",
            "telephone_number": "561-676-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ERIN",
        "middle_name": "ARNOLD",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9196869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.