Latoya Bonk, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP028327 Issued in PA

Practice address

401 Horsham Rd
Horsham, PA 19044-2013

Phone

(215) 422-3646

NPI assigned

Sep 29, 2023

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 PA, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  NJ, PA

  Medicare reassignment Care Compare group NPD
• Avenues Recovery Medical Center at Valley Forge

  • Addiction Medicine (Family Medicine) Physician
  • Norristown, PA
  • NPI 1326622069
  Medicare reassignment NPD
• Medical Services of Suffolk County PC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1811235724
  Medicare reassignment NPD
• Pennsylvania Urgent Care Centers, PLLC

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721
  Medicare reassignment NPD
• Avenues Recovery Medical Center at Valley Forge

  • General Acute Care Hospital
  • Norristown, PA
  • NPI 1407430291
  NPD

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1104606987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LISETTE DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189542051",
            "telephone_number": "267-259-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HORSHAM RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442013",
            "telephone_number": "215-422-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONK",
        "first_name": "LATOYA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaynie Patricia Black, OTR/L
• Amy Susan Blake, FNP-BC
• Charles Alan Block, M.D.
• Bloom OT and Wellness, LLC
• Chelsea Bohenick, CRNP
• Richard P Borge, M.D.
• Victoria Borger, CRNP
• Theresa Bownes, NP
• Felicity Shawn Boyer, NP-C
• Miriam Boyle, CRNP

• Family Nurse Practitioner in Horsham, PA
• Providers in Horsham, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.