Jennifer Nicole Bonner, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CM000072 Issued in SD

Practice address

7236 Jordan Dr Ste 100a
Rapid City, SD 57702-8740

Phone

(605) 718-3747

NPI assigned

Dec 10, 2018

Sex

Female

Sole proprietor

No

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.

• Associates in Plastic & Reconstructive Surgery Inc

  • Plastic Surgery Physician
  • Rapid City, SD
  • NPI 1508999822
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

• Jennifer Nicole Chapman Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2018.

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1124599519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 JORDAN DR STE 100A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 JORDAN DR STE 100A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028740",
            "telephone_number": "605-718-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SD",
            "license": "CM000072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CHAPMAN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Geoffrey P Bonar, R.P.T.
• Allen Ray Bond, DDS
• Sheyenne Grace Bond
• Tanner Allen Bond
• Amy Bonkoski, MT
• Laura A Bonsness, PT
• Barbra Ann Bordeaux, RN
• Lori Ann Borella, M.D.
• Mercedes Jo Borgen, EDUCATION SPECIALIST
• Trista Marie Borgwardt, CNP

• All providers in Rapid City, SD
• Advanced Practice Midwife in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.