Individual provider Active NPI

Maria Rita Ballesteros Bono, RN, RD, CDCES, MS

  • Diabetes Educator Registered Nurse
  • Bozeman, MT
National Provider Identifier
1053427211
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
358712-3102 Issued in UT
Practice address
3905 Wellness Way
Bozeman, MT 59718-1999
Phone
(406) 898-1957
Fax
(406) 898-1959
NPI assigned
Aug 21, 2006
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 358712-4901 UT
Diabetes Educator Registered Nurse 163WD0400X 358712-3102 UT Primary

Addresses

Primary practice location

3905 Wellness Way
Bozeman, MT 59718-1999

Mailing address

3905 Wellness Way
Bozeman, MT 59718-1999
Phone (406) 898-1957

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
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
358712-4901UTMDRegistered Dietitian
358712-3102UTMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Sep 25, 2022 Accepting new patients
Billings Clinic CurrentSince Sep 25, 2022 Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1053427211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WELLNESS WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597181999",
            "telephone_number": "406-898-1957",
            "fax_number": "406-898-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 WELLNESS WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597181999",
            "telephone_number": "406-898-1957",
            "fax_number": "406-898-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS BONO",
        "first_name": "MARIA",
        "middle_name": "RITA",
        "name_prefix": "Ms.",
        "credential": "RN, RD, CDCES, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "358712-4901",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "358712-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.