Active NPI
Gary Bonita Stein, CCC-SP
- Speech-Language Pathologist
- Anchorage, AK
National Provider Identifier
1730511429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01032786
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01032786 | Other | AK | CERTIFICATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01032786 | DC | MD | Speech-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.