Blanka Bono

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86023221 Issued in MI

Practice address

1030 Miners Rd
Saint Joseph, MI 49085-9625

Phone

(269) 408-1688

NPI assigned

Aug 22, 2016

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

Other names 1

• Blanka Milik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychiatric and Psychological Specialties

  • Clinical Psychologist
  • Saint Joseph, MI
  • NPI 1548672728
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1154876977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859625",
            "telephone_number": "269-408-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859625",
            "telephone_number": "269-408-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO",
        "first_name": "BLANKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86023221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANKA",
            "last_name": "MILIK",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jensen Hope Boardman, CHW
• Body Logic Alternative Therapies, Inc.
• Spencer Ryan Boehm, DO
• Stuart William Boekeloo, D.D.S.
• Jay Richard Bond
• Eva M Borcherding, LMT
• Frederick William Born, D.O.
• Daniel Davis Bosis Jr., M.D.
• Rebekah Elisabeth-Carradine Boulanger
• James Daniel Bozyk II, PA

• Registered Dietitian in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.