Individual provider Active NPI

Bonnie Sue Ames-Wernet

  • Pediatric Registered Nurse
  • East Canton, OH
National Provider Identifier
1316245269
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
RN264978 Issued in OH
Practice address
980 Evening Star Ave S.E.
East Canton, OH 44730
Phone
(330) 704-7711
NPI assigned
Mar 2, 2011
Last updated
Mar 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN264978 OH Primary

Addresses

Primary practice location

980 Evening Star Ave S.E.
East Canton, OH 44730

Mailing address

980 Evening Star Ave SE
East Canton, OH 44730-9445
Phone (330) 704-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN264978OHMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1316245269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 EVENING STAR AVE SE",
            "city": "EAST CANTON",
            "state": "OH",
            "postal_code": "447309445",
            "telephone_number": "330-704-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 EVENING STAR AVE S.E.",
            "city": "EAST CANTON",
            "state": "OH",
            "postal_code": "44730",
            "telephone_number": "330-704-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES-WERNET",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "RN264978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.