Individual provider Active NPI

Bonita C Beardslee, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Columbus, OH
National Provider Identifier
1083605950
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
COA06472NS Issued in OH
Practice address
5025 Arlington Centre Blvd
Suite 500
Columbus, OH 43220-2959
Phone
(614) 538-8300
Fax
(614) 538-1656
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X COA06472NS OH Primary

Addresses

Primary practice location

5025 Arlington Centre Blvd
Suite 500
Columbus, OH 43220-2959

Mailing address

5025 Arlington Centre Blvd
Suite 500
Columbus, OH 43220-2959
Phone (614) 538-8300

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
COA06472NSOHMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1083605950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 ARLINGTON CENTRE BLVD",
            "address_2": "SUITE 500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202959",
            "telephone_number": "614-538-8300",
            "fax_number": "614-538-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 ARLINGTON CENTRE BLVD",
            "address_2": "SUITE 500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202959",
            "telephone_number": "614-538-8300",
            "fax_number": "614-538-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDSLEE",
        "first_name": "BONITA",
        "middle_name": "C",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA06472NS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.