Active NPI
Michele Bonazzoli-Clinton, ARNP
- Registered Nurse
- Boynton Beach, FL
National Provider Identifier
1316476237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- ARNP3210142
- Practice address
- 9908 Lago Dr
Boynton Beach, FL 33472-2770 - Phone
- (954) 260-0885
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | ARNP3210142 | FL | Primary |
Addresses
Primary practice location
9908 Lago Dr
Boynton Beach, FL 33472-2770
Mailing address
9908 Lago Dr
Boynton Beach, FL 33472-2770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP3210142 | Other | FL | MEDICAL LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3210142 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1316476237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9908 LAGO DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334722770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9908 LAGO DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334722770",
"telephone_number": "954-260-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONAZZOLI-CLINTON",
"first_name": "MICHELE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "ARNP3210142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ARNP3210142",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.