Active NPI
Bonnie Dolores Yates, CPNP-AC
- Pediatric Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1265781827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AC002408
- Practice address
- 9000 Rockville Pike BLDG 10
Bethesda, MD 20892 - Phone
- (240) 760-6204
- Fax
- (301) 482-5157
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AC002408 | MD | Primary |
Addresses
Primary practice location
9000 Rockville Pike BLDG 10
Bethesda, MD 20892
Mailing address
9000 Rockville Pike BLDG 10
Bethesda, MD 20892-0001
Phone (240) 760-6204
Other practice location 1
111 Michigan Ave NW
W1-319
Washington, DC 20010-2916
Phone (202) 476-6934
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 |
|---|---|---|---|
| AC002408 | MD | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1265781827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 ROCKVILLE PIKE BLDG 10",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "240-760-6204",
"fax_number": "301-482-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 ROCKVILLE PIKE BLDG 10",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20892",
"telephone_number": "240-760-6204",
"fax_number": "301-482-5157"
}
],
"practiceLocations": [
{
"address_1": "111 Michigan Ave NW",
"address_2": "W1-319",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102916",
"country_code": "US",
"telephone_number": "202-476-6934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YATES",
"first_name": "BONNIE",
"middle_name": "DOLORES",
"credential": "CPNP-AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "AC002408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.