Lori Bonafede

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP013243 Issued in PA

Practice address

743 Jefferson Ave
Suite 203
Scranton, PA 18510-1635

Phone

(570) 344-9997

Fax

(570) 344-3158

NPI assigned

Jul 22, 2014

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

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: lori.bonafede.1@27525.direct.athenahealth.com

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.

• Maternal & Family Health Services Inc

  • Clinic/Center
  • East Stroudsburg, PA
  • NPI 1275352973
  NPD (past)
• Maternal & Family Health Services Inc

  • Clinic/Center
  • Scranton, PA
  • NPI 1740669530
  NPD (past)
• Maternal & Family Health Services Inc

  • Clinic/Center
  • Hazleton, PA
  • NPI 1811210636
  NPD (past)
• Maternal & Family Health Services, Inc.

  • Clinic/Center
  • Pottsville, PA
  • NPI 1053538470
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1134536105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 203",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101635",
            "telephone_number": "570-344-9997",
            "fax_number": "570-344-3158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185101631",
            "country_code": "US",
            "telephone_number": "570-961-5500",
            "fax_number": "570-961-3844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONAFEDE",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geetha Bodapati, MBBS
• Sarah Bodnar, LCSW
• Mark William Bohn, M.D.
• Thomas S Boland, MD
• Jared Bomba
• Marie Susan Bonavoglia, PA-C
• Terri Lynn Bond, CDCES, NBC-HWC,
• Michael J. Bone, D.M.D.
• Kerri Louise Bonich
• Noelle Anne Bonitatis

• Family Nurse Practitioner in Scranton, PA
• Providers in Scranton, 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 Jun 24, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.