Samantha Bonter

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG61210390 Issued in WA

Practice address

2625 Wheaton Way Ste B
Bremerton, WA 98310-3372

Phone

(360) 792-2020

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Holmes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1053085134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 WHEATON WAY STE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103372",
            "telephone_number": "360-792-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WHEATON WAY STE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103372",
            "telephone_number": "360-792-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61210390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HOLMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Breanna Maria Bolliger
• Cynthia Bonilla
• Kaylee Bonilla
• Kara Boninsegna, PA-C
• Vaughn Bonnet-Klemp, MSW
• Noah Bonwell
• Sharon Lane Booker I, LMHC
• Sarah Booth, MA
• Christopher Dale Borer, MSW
• Catherine Anne Borja, M.D.

• Peer Specialist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.