Individual provider Active NPI

Bonnie Leeann Sanchez, RD, LDN, CDCES

  • Registered Dietitian
  • Wilmington, NC
National Provider Identifier
1295915130
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L002920 Issued in NC
Practice address
429 Lady Bug LN
Wilmington, NC 28411-8013
Phone
(910) 319-1532
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L002920 NC Primary

Addresses

Primary practice location

429 Lady Bug LN
Wilmington, NC 28411-8013

Mailing address

429 Lady Bug LN
Wilmington, NC 28411-8013
Phone (910) 319-1532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000197 NC Practitioner - Registered Dietitian Or Nutrition Professional 9032299805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

407 E Fremont St
Burgaw, NC 28425-5129
Phone (910) 319-1532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L002920NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
An Apple a Day LLC Dietitian, Registered CurrentSince Dec 16, 2021 Accepting new patients

Locations

407 E Fremont St
Burgaw, NC 28425
Phone (910) 259-2161

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1295915130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 LADY BUG LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118013",
            "telephone_number": "910-319-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 LADY BUG LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118013",
            "telephone_number": "910-319-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "BONNIE",
        "middle_name": "LEEANN",
        "name_prefix": "Ms.",
        "credential": "RD, LDN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.