Alphonce Morango Boniphace

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

NC61503287 Issued in WA

Practice address

5031 S Orchard St Apt B
Tacoma, WA 98467-3667

Phone

(240) 615-3791

NPI assigned

Dec 26, 2023

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1306615992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 S ORCHARD ST APT B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673667",
            "telephone_number": "240-615-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 S ORCHARD ST APT B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673667",
            "telephone_number": "240-615-3791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 E 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021201",
            "country_code": "US",
            "telephone_number": "509-474-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONIPHACE",
        "first_name": "ALPHONCE",
        "middle_name": "MORANGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "NC61503287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bond
• Victoria Bond, LMT
• Misha J Bonds
• Alexandria A Bones, PA-C
• Isabella Bonham
• Tracie Bonjour
• Alexis Bonnell, PHARMD
• William Bonnes
• Jami M Bonomo, CDP
• Bernita Bontrager, NIC

• Registered Nurse First Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Nurse First Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.