Active NPI
Bonita Ann Davis, RD
- Registered Dietitian
- Ithaca, NY
National Provider Identifier
1154627610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 817922
- Practice address
- 681 Snyder Hill Rd
Ithaca, NY 14850-8711 - Phone
- (607) 277-2943
- NPI assigned
- Feb 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 817922 | Primary |
Addresses
Primary practice location
681 Snyder Hill Rd
Ithaca, NY 14850-8711
Mailing address
681 Snyder Hill Rd
Ithaca, NY 14850-8711
Phone (607) 277-2943
Other names 1
- Bonita Ann Younk
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1154627610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 SNYDER HILL RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508711",
"telephone_number": "607-277-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 SNYDER HILL RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508711",
"telephone_number": "607-277-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BONITA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "817922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BONITA",
"last_name": "YOUNK",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.