Active NPI
Bonnie R Crawford, GNP
- Gerontology Nurse Practitioner
- Fairport, NY
National Provider Identifier
1255321345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- F340568-1
- Practice address
- 4646 Nine Mile Point Rd
Fairport, NY 14450-1163 - Phone
- (585) 377-0350
- NPI assigned
- Oct 28, 2005
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340568-1 | NY | Primary |
Addresses
Primary practice location
4646 Nine Mile Point Rd
Fairport, NY 14450-1163
Mailing address
1442 Davis Rd
Churchville, NY 14428-9711
Phone (585) 889-1776
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340568 | NY | MD | Diagnostic Radiology Physician |
| F340568-1 | NY | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255321345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1442 DAVIS RD",
"city": "CHURCHVILLE",
"state": "NY",
"postal_code": "144289711",
"telephone_number": "585-889-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 NINE MILE POINT RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501163",
"telephone_number": "585-377-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "BONNIE",
"middle_name": "R",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340568-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
- Mitchel Costa, D.D.S.
- Stephanie Elaine-Marie Costantino
- Jeanmarie Courtney, MS OTR/L
- Nicole Cox, MS,CCC/SLP
- CPR Associates LLC. (Aaron Manor Rehabilitation & Nursing Center)
- Jenna Crawford, MS, OTR/L
- Bonnie Creedon, LPN
- Teresa M Crego, SP. ED. TEACHER
- Catherine Marie Crescenzi, SLP
- Crest Manor Living and Rehabilitation Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.