Active NPI
Bonnie Howard
- Community Health Worker
- Indianapolis, IN
National Provider Identifier
1215307178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 36002141A
- Practice address
- 8040 Clearvista Pkwy
Ste 440
Indianapolis, IN 46256-5630 - Phone
- (317) 497-6024
- Fax
- (317) 497-2507
- NPI assigned
- Oct 4, 2015
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 36002141A | IN | Primary |
Addresses
Primary practice location
8040 Clearvista Pkwy
Ste 440
Indianapolis, IN 46256-5630
Mailing address
8921 Bradwell PL
#205
Fishers, IN 46037-8984
Phone (850) 449-1608
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 |
|---|---|---|---|
| 36002141A | IN | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443916800000",
"number": "1215307178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8921 BRADWELL PL",
"address_2": "#205",
"city": "FISHERS",
"state": "IN",
"postal_code": "460378984",
"telephone_number": "850-449-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 CLEARVISTA PKWY",
"address_2": "STE 440",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462565630",
"telephone_number": "317-497-6024",
"fax_number": "317-497-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "BONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-04",
"last_updated": "2015-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IN",
"license": "36002141A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.