Active NPI
Maria Eversole Bonnett, A.R.N.P.
- Nurse Practitioner
- Melbourne, FL
National Provider Identifier
1104030212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1622702
- Practice address
- 2 Suntree PL
Melbourne, FL 32940-7689 - Phone
- (321) 259-1883
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1622702 | FL | Primary |
Addresses
Primary practice location
2 Suntree PL
Melbourne, FL 32940-7689
Mailing address
305 Jacala Dr
Merritt Island, FL 32953-3169
Phone (321) 453-8888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1622702 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wuesthoff Health Services, Inc., Dba Child Protection Team | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Melbourne, FL
- NPI 1427262542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104030212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 JACALA DR",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533169",
"telephone_number": "321-453-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SUNTREE PL",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407689",
"telephone_number": "321-259-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNETT",
"first_name": "MARIA",
"middle_name": "EVERSOLE",
"name_prefix": "Mrs.",
"credential": "A.R.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1622702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.