Mary Kate Bonilla, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP 2235552 Issued in FL

Practice address

400 Whitesport Dr SW Suite 201
Huntsville, AL 35801-6429

Phone

(256) 882-9777

Fax

(256) 882-9188

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26817/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114070786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MCADOO DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588409",
            "telephone_number": "256-772-7530",
            "fax_number": "256-772-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW SUITE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-882-9777",
            "fax_number": "256-882-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "MARY",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2235552",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-038037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lorin Bolton, MA, MT-BC, FAMI
• Victoria Fowler Bolton, DPT
• Rachel Eileen Bond, MD
• Molly Ann Bonds, CRNP
• Crystal Gayle Bone, LICSW, PIP
• Savanah Booker, PA-C
• Barbara Booth, PT
• John Douglas Booth, DDS
• Eunjoung K Bordenski
• Sheila J Borgen, P.T.

• Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.