Rose Bonner, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

0001078473 Issued in VA

Practice address

12011 Government Center Pkwy Ste 300
Fairfax, VA 22035-1100

Phone

(703) 324-3271

Fax

(703) 322-1518

NPI assigned

May 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1306165444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 MISSION CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103353",
            "telephone_number": "702-324-3271",
            "fax_number": "703-322-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 GOVERNMENT CENTER PKWY STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220351100",
            "telephone_number": "703-324-3271",
            "fax_number": "703-322-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001078473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Bonilla, LCSW
• Samantha Lynne Bonito, PT, DPT
• Dominique Bonner, DDS
• Elyssa Bonner
• Jennifer Candace Bonner, MS
• Jason Andrew Bonomo, MD, PHD
• Katherine Booker, PT
• Michelle E. Booth, L.C.S.W.
• Leslie A Bord, MD
• Paul Bordelon

• Case Management Registered Nurse in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Case Management Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.