Jennifer Candace Bonner, MS

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201002074 Issued in VA

Practice address

9548B Main St
Fairfax, VA 22031-4031

Phone

(571) 746-9614

NPI assigned

Mar 3, 2010

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Services Company USA, LLC

  dba Hearinglife

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  VA

  Medicare reassignment

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1295058402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ROLAND CLARKE PL APT 109",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911453",
            "telephone_number": "843-566-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9548B MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314031",
            "telephone_number": "571-746-9614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 S Carlin Springs Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222041061",
            "country_code": "US",
            "telephone_number": "703-933-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "JENNIFER",
        "middle_name": "CANDACE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201002074",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101002965",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "3922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Bonicky, PA-C
• Maria Bonilla, LCSW
• Samantha Lynne Bonito, PT, DPT
• Dominique Bonner, DDS
• Elyssa Bonner
• Rose Bonner, RN
• Jason Andrew Bonomo, MD, PHD
• Katherine Booker, PT
• Michelle E. Booth, L.C.S.W.
• Leslie A Bord, MD

• Audiologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.