Individual provider Active NPI

Bonnie L Cunningham, APRN,BC

  • Clinical Nurse Specialist
  • Rehoboth Beach, DE
National Provider Identifier
1275627226
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
LC 0000108 Issued in DE
Practice address
18947 John J Williams Hwy Unit 210
Rehoboth Beach, DE 19971-4476
Phone
(302) 645-3121
Fax
(302) 645-3428
NPI assigned
Oct 3, 2006
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X LC-0000108 DE
Clinical Nurse Specialist 364S00000X LC 0000108 DE Primary

Addresses

Primary practice location

18947 John J Williams Hwy Unit 210
Rehoboth Beach, DE 19971-4476

Mailing address

18947 John J Williams Hwy Unit 210
Rehoboth Beach, DE 19971-4476
Phone (302) 645-3121

Other names 1

  • Bonnie L Marsh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
LC 0000108DEMDClinical Nurse Specialist
LC-0000108DEMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1275627226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 210",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476",
            "telephone_number": "302-645-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 210",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476",
            "telephone_number": "302-645-3121",
            "fax_number": "302-645-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "BONNIE",
        "middle_name": "L",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "DE",
            "license": "LC-0000108",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "DE",
            "license": "LC 0000108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "MARSH",
            "middle_name": "L",
            "credential": "APRN,BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.