Individual provider Active NPI

Schadrey L. Bonds I, NP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1023475282
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002103 Issued in NV
Practice address
4275 Burnham Ave Ste 128
Las Vegas, NV 89119-5400
Phone
(702) 640-0878
Fax
(725) 204-5647
NPI assigned
Jan 19, 2016
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NV20243245169 NV
Family Nurse Practitioner 363LF0000X APRN002103 NV Primary

Addresses

Primary practice location

4275 Burnham Ave Ste 128
Las Vegas, NV 89119-5400

Mailing address

4275 Burnham Ave Ste 128
Las Vegas, NV 89119-5400
Phone (702) 640-0878

Other identifiers 1

IdentifierTypeStateIssuer
1023475282MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301002657 NV Practitioner - Nurse Practitioner 2668777525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4275 Burnham Ave
Suite 128
Las Vegas, NV 89119-5400
Phone (702) 640-0878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NV20243245169NVMDAdult Medicine Physician
APRN002103NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonds LLC CurrentSince May 1, 2025 Accepting new patients
Bacchus PC CurrentSince May 1, 2018 Accepting new patients

Locations

5255 E Williams Cir
Ste 2020
Tucson, AZ 85711
Phone (520) 392-8400

6296 E Grant Rd
Ste 140
Tucson, AZ 85712
Phone (520) 298-3321

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

880 Seven Hills Dr
Ste 140
Henderson, NV 89052
Phone (702) 844-4840

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

4275 Burnham Ave
Ste 128
Las Vegas, NV 89119
Phone (702) 640-0878

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

272 NW Medical Loop
Ste B
Roseburg, OR 97471
Phone (541) 229-7051

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1023475282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 128",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195400",
            "telephone_number": "702-640-0878",
            "fax_number": "725-204-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 128",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195400",
            "telephone_number": "702-640-0878",
            "fax_number": "725-204-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS",
        "first_name": "SCHADREY",
        "middle_name": "L.",
        "name_suffix": "I",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": "NV20243245169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023475282",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.