Linda Diane Reid-Bonnema, RN, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP115049 Issued in TX

Practice address

113 Pleasant Valley Dr Ste 210
Boerne, TX 78006-5683

Phone

(830) 267-4575

Fax

(830) 214-2576

NPI assigned

Jun 1, 2007

Last updated

Sep 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centric Physicians Group PLLCGroup PAC ID 1951614726, 22 clinicians

Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians

Healthdrive Medical Services Southeast LLCGroup PAC ID 4284075722, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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

• Coe-Medical PLLC

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1073907184
  Medicare reassignment Care Compare group NPD
• Healthdrive Medical Services of Texas LLC

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1457132169
  Medicare reassignment Care Compare group NPD
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  Family, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1336341429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PLEASANT VALLEY DR STE 210",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065683",
            "telephone_number": "830-267-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PLEASANT VALLEY DR STE 210",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065683",
            "telephone_number": "830-267-4575",
            "fax_number": "830-214-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID-BONNEMA",
        "first_name": "LINDA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115049",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "675141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544678-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul A Reder, M.D.
• Reg Cully DC PLLC
• Giovanni Regalado, PT, DPT
• Regenerative Healing Solutions PLLC
• Rehoboth Solutions LLC
• Cynthia M Reidinger, NP
• Victoria Reigelsperger
• Scott Edward Reinecke, DDS
• Lisa Reitz, PT
• Bailey Renfroe

• Family Nurse Practitioner in Boerne, TX
• Providers in Boerne, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.