STACEY O'SHEA BONOMO LPN
NPI 1821393430
Licensed Practical Nurse in Springfield, OR

Active since January 13, 2011
2073 OLYMPIC STREET, #304, SPRINGFIELD, OR 97477(541) 682-3550(541) 682-3551 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey O'shea Bonomo Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY O'SHEA BONOMO LPN (NPI 1821393430) is an individual licensed practical nurse in Springfield, Oregon, licensed in Oregon (200530455LPN) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1821393430
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACEY O'SHEA BONOMOCredential: LPN
Location Address2073 OLYMPIC STREET, #304Springfield, OR 97477-3413
Mailing Address2073 Olympic StreetSpringfield, OR 97477-3413 · (541) 682-3550 · Fax (541) 682-3551
Fax(541) 682-3551
Sole ProprietorYes
Enumeration DateJanuary 13, 2011
Last NPPES UpdateApril 27, 2011
NPI 1821393430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OR · 200530455LPN
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2073 OLYMPIC STREET, Springfield, OR 97477

Other Names 1

Former Name (1)Stacey Ann O'shea

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Community Health)
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477
Internal Medicine
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477
Family Medicine
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477
Nurse Practitioner (Family)
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477
Registered Nurse
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477
Social Worker (Clinical)
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477
Licensed Practical Nurse
2073 OLYMPIC STREET
SPRINGFIELD, OREGON 97477
Licensed Practical Nurse
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Bonomo's NPI number?

The NPI number for Stacey Bonomo is 1821393430. It was assigned to this individual provider in the NPPES registry on January 13, 2011. The provider is also known as Stacey Ann O'shea.

Where is Stacey Bonomo located?

Stacey Bonomo practices at 2073 Olympic Street #304, Springfield, OR 97477. The listed phone number is (541) 682-3550.

What is Stacey Bonomo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacey Bonomo was last updated on April 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.