Active NPI
Valerie Lynne Bonnett, M.D.
- Family Medicine Physician
- Pella, IA
National Provider Identifier
1023097912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30045
- Practice address
- 713 E 1St St
Pella, IA 50219-1632 - Phone
- (641) 204-0052
- NPI assigned
- Jan 10, 2006
- Last updated
- Mar 12, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30045 | IA | Primary |
Addresses
Primary practice location
713 E 1St St
Pella, IA 50219-1632
Mailing address
713 E 1St St
Pella, IA 50219-1632
Phone (641) 204-0052
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30045 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Health & Wellness LLC | Past | Accepting new patients | |
| Woman to Woman Health Inc | Past | Accepting new patients | |
| Genesis Medical Education Foundation Inc | Family Medicine | Past | Accepting new patients |
| Genesis Health System | Family Medicine | Past | Accepting new patients |
| Waterford Family Medicine PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Clinic/Center
- Pella, IA
- NPI 1205252467
-
dba Genesis Family Medical Center
- Family Medicine Physician
- Davenport, IA
- NPI 1922012764
-
dba Genesis Family Medical Center
- Family Medicine Physician
- Davenport, IA
- NPI 1659322931
-
- Family Medicine Physician
- Davenport, IA
- NPI 1942470828
-
- Advanced Practice Midwife
- Davenport, IA
- NPI 1316926512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1023097912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 E 1ST ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191632",
"telephone_number": "641-204-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 E 1ST ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191632",
"telephone_number": "641-204-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNETT",
"first_name": "VALERIE",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "30045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.