Bonita Louise Outland

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

RN079743 Issued in GA

Practice address

420 Mall Blvd
Savannah, GA 31406-4888

Phone

(912) 644-5202

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Glynn County Board of Health

  • Public Health or Welfare Agency
  • Savannah, GA
  • NPI 1679136642
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1235647751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MALL BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064888",
            "telephone_number": "912-644-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MALL BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064888",
            "telephone_number": "912-644-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAND",
        "first_name": "BONITA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN097943",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN097943",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "RN097943",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "RN097943",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "GA",
            "license": "RN097943",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "GA",
            "license": "RN079743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSG",
            "identifier": "RN097943",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Osteen, MD
• Karen Ott, MD
• Kristin Prentiss Ott, M.D.
• Mickey Meilinger Ott, M. D.
• Ansley Elizabeth Otte, PA-AA
• Outside the Box Pediatric Therapy Solutions
• Julie Dillard Outzs, MCD CCC SLP
• Kevin Outzs, MSOTR
• Kylie Angela Overbey
• Panagiota Papamichali Overbey, LPC

• Community Health/Public Health Clinical Nurse Specialist in Savannah, GA
• Providers in Savannah, GA by specialty
• Community Health/Public Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.