STACY ANN BOND-BERO (NPI# 1295850626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295850626 |
| Entity Type | Individual |
| Full Name | STACY ANN BOND-BERO |
| Credential | APRN |
| Practice Address |
4000 S 700 E Ste 10 Salt Lake City UT 84107-2580 |
| Practice Telephone | 8012684141 |
| Practice Fax Number | 8012618609 |
| Mailing Telephone | 8012684141 |
| Mailing Fax Number | 8012618609 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
200895-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4000 S 700 E STE 10 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003368283 | Mckie Alan Delahunty | Physician Assistant | 4000 S 700 E Ste 10, Salt Lake City, UT 84107-2580 | 2016-11-03 |
| 1164979837 | Benjamin Schiedermayer | Speech-Language Pathologist | 4000 S 700 E Ste 10, Salt Lake City, UT 84107-2580 | 2016-09-09 |
| 1518215870 | Rebecca A. Mcgarry | Speech-Language Pathologist | 4000 S 700 E Ste 10, Salt Lake City, UT 84107-2580 | 2012-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841707569 | Deeann Cervantez | Nurse Practitioner | 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103 | 2018-01-03 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1720452782 | Jane Garff Gardiner | Nurse Practitioner | 347 N Quince St, Salt Lake City, UT 84103-1641 | 2015-11-13 |
| 1982889358 | Deborah M Lener | Nurse Practitioner | 964 Laird Ave, Salt Lake City, UT 84105-1819 | 2008-01-04 |
| 1376183582 | Claire Ann Goeke | Nurse Practitioner | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2020-01-15 |
| 1679036263 | Katelyn Ann Newton | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-04-10 |
| 1215476197 | Stacy Madden | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-02-13 |
| 1447665484 | Anne Gallegos Harvey | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-06-28 |
| 1841628666 | Robert Sylvester | Nurse Practitioner | 1140 E 3900 S, Suite 360, Salt Lake City, UT 84124-1228 | 2013-10-15 |
| 1518218577 | Tracy D. Nichols | Nurse Practitioner | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-09-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on STACY ANN BOND-BERO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.