Individual provider Active NPI

Cynthia Oluyemi Lakia Bonin-Omoniyi, DNP, FNP-C, APRN

  • Family Nurse Practitioner
  • Gatesville, TX
National Provider Identifier
1265781298
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121104 Issued in TX
Practice address
1210 Coryell City Rd
Gatesville, TX 76528-2913
Phone
(409) 772-1011
NPI assigned
Sep 5, 2012
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 761411 TX
Family Nurse Practitioner 363LF0000X AP121104 TX Primary

Addresses

Primary practice location

1210 Coryell City Rd
Gatesville, TX 76528-2913

Mailing address

1210 Coryell City Rd
Gatesville, TX 76528-2913
Phone (409) 772-1011

Other practice location 1

11226 Southwest Fwy
Houston, TX 77031-3604
Phone (832) 446-3200

Other practice location 2

890 E Travis St
LA Grange, TX 78945
Phone (979) 968-5878

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

State licenses

LicenseStateTypeSpecialty
AP121104TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1265781298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 CORYELL CITY RD",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282913",
            "telephone_number": "409-772-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 CORYELL CITY RD",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282913",
            "telephone_number": "409-772-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11226 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770313604",
            "country_code": "US",
            "telephone_number": "832-446-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 E Travis St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "78945",
            "country_code": "US",
            "telephone_number": "979-968-5878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONIN-OMONIYI",
        "first_name": "CYNTHIA",
        "middle_name": "OLUYEMI LAKIA",
        "name_prefix": "Dr.",
        "credential": "DNP,  FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "761411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gatesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.