Active NPI
Bonnie Jo Smith, FNP
- School Nurse Practitioner
- Buckhannon, WV
National Provider Identifier
1144398330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- 22343
- Practice address
- 59 College Avenue
Barnhart Memorial Student Health Center West Virginia W
Buckhannon, WV 26201-2600 - Phone
- (304) 473-8100
- Fax
- (304) 473-8200
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | 22343 | WV | Primary |
Addresses
Primary practice location
59 College Avenue
Barnhart Memorial Student Health Center West Virginia W
Buckhannon, WV 26201-2600
Mailing address
Route 3 Box 244
Buckhannon, WV 26201-2600
Phone (304) 472-8970
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22343 | WV | MD | School Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144398330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROUTE 3 BOX 244",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012600",
"telephone_number": "304-472-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 COLLEGE AVENUE",
"address_2": "BARNHART MEMORIAL STUDENT HEALTH CENTER WEST VIRGINIA W",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012600",
"telephone_number": "304-473-8100",
"fax_number": "304-473-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BONNIE",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "WV",
"license": "22343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.