Rendi Bonner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9418703 Issued in FL

Practice address

105 Hands Cove LN
Shalimar, FL 32579-1052

Phone

(806) 676-9020

NPI assigned

Dec 27, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Urgent Care and Wellness PLGroup PAC ID 8628292448, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbonner281078@ahs.direct-ci.com

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.

• Quality Urgent Care & Wellness PL

  • Urgent Care Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1861824013
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment NPD
• Housecalls Medicine Ny East PC

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1982565685

  FL

  Medicare reassignment
• Housecalls Medicine Ny PC

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1275290025

  FL

  Medicare reassignment
• Housecalls Medicine Ny West PC

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1245191956

  FL

  Medicare reassignment
• FL-I Medical Services, LLC

  • Emergency Medicine Physician
  • Orlando, FL
  • NPI 1306417654
  NPD
• Quality Urgent Care & Wellness PL

  dba Quality Urgent Care & Wellness

  • Urgent Care Clinic/Center
  • Pensacola, FL
  • NPI 1033562913
  NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1083186340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HANDS COVE LN",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791052",
            "telephone_number": "806-676-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HANDS COVE LN",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791052",
            "telephone_number": "806-676-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "RENDI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9418703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bellis, LMHC
• Beyond Expectations
• Beyond Expectations Inc.
• Julie Kristine Bloodworth, M.S.
• Bluewater Chiropractic Wellness Center LLC (Serenity Health Chiropractic)
• BRD Wellness PLLC (Serenity Health Chiropractic)
• Renae Morvlee Jodian Brown Eccleston
• Larry Brown II
• Megan S Brown
• Amanda Brunson, LCSW

• Family Nurse Practitioner in Shalimar, FL
• Providers in Shalimar, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.