Individual provider Active NPI

Bonnie Michelle Leger, CNM

  • Advanced Practice Midwife
  • Sulphur, LA
National Provider Identifier
1124185830
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN075282 Issued in LA
Practice address
1200 Stelly LN
Sulphur, LA 70663-5134
Phone
(337) 312-1000
Fax
(337) 527-8963
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN075282 LA Primary

Addresses

Primary practice location

1200 Stelly LN
Sulphur, LA 70663-5134

Mailing address

PO Box 4610
Lake Charles, LA 70606-4610
Phone (337) 312-1000

Other identifiers 1

IdentifierTypeStateIssuer
1466522MedicaidLA

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN075282LAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Northern Louisiana Past Accepting new patients
Obg-1 a Medical Corporation Past Accepting new patients
Bienville Parish PastSince Mar 1, 2007 Accepting new patients
Women'S Clinic of Louisiana, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1124185830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4610",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064610",
            "telephone_number": "337-312-1000",
            "fax_number": "337-527-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STELLY LN",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635134",
            "telephone_number": "337-312-1000",
            "fax_number": "337-527-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "BONNIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "LA",
            "license": "RN075282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466522",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.