Individual provider Active NPI

Gary Bonita Stein, CCC-SP

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1730511429
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01032786 Issued in DC
Practice address
5530 E No Lights
Ste 16
Anchorage, AK 99504-3135
Phone
(907) 742-4000
Fax
(907) 742-4001
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01032786 DC Primary

Addresses

Primary practice location

5530 E No Lights
Ste 16
Anchorage, AK 99504-3135

Mailing address

3687 Tampa Rd Ste 200
Oldsmar, FL 34677-6313
Phone (813) 792-3432

Other identifiers 1

IdentifierTypeStateIssuer
01032786OtherAKCERTIFICATE OF CLINICAL COMPETENCE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01032786DCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1730511429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 TAMPA RD STE 200",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776313",
            "telephone_number": "813-792-3432",
            "fax_number": "866-360-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 E NO LIGHTS",
            "address_2": "STE 16",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043135",
            "telephone_number": "907-742-4000",
            "fax_number": "907-742-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "GARY",
        "middle_name": "BONITA",
        "name_prefix": "Ms.",
        "credential": "CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "01032786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "01032786",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.