Heather Shaw Bonilha, PHD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3483 Issued in SC

Practice address

1601 Saint Julian PL
Columbia, SC 29204-2407

Phone

(803) 777-2614

NPI assigned

Sep 19, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• University of South Carolina System

  • Cardiac Rehabilitation Registered Nurse
  • Lancaster, SC
  • NPI 1881857027
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1104076629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SAINT JULIAN PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042407",
            "telephone_number": "803-777-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SAINT JULIAN PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042407",
            "telephone_number": "803-777-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILHA",
        "first_name": "HEATHER",
        "middle_name": "SHAW",
        "name_prefix": "Dr.",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426521",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Bonaparte, SOCIAL WORKER
• Caryn Bond
• Erin Marie Bond, CRNA
• Dylan D Bonds
• Karin Michele Bonfili, CRNA
• Leonardo Fator Gouvea Bonilha, M.D. , PH.D.
• Amanda J Bonner, LISW-CP
• Ashley Bonnette, LPC, NCC
• Lan L Bonno Lebozec, LPC.,CRC.,CFAE
• Robert A Bonzani, MD

• Speech-Language Pathologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.