Individual provider Active NPI

Bonnie Michelle Sofia, CHW

  • Community Health Worker
  • Kalamazoo, MI
National Provider Identifier
1366205288
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
440 W Kalamazoo Ave Ste 102
Kalamazoo, MI 49007-3347
Phone
(269) 270-7242
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MI Primary

Addresses

Primary practice location

440 W Kalamazoo Ave Ste 102
Kalamazoo, MI 49007-3347

Mailing address

440 W Kalamazoo Ave Ste 102
Kalamazoo, MI 49007-3347
Phone (269) 270-7242

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

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1366205288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W KALAMAZOO AVE STE 102",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073347",
            "telephone_number": "269-270-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W KALAMAZOO AVE STE 102",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073347",
            "telephone_number": "269-270-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFIA",
        "first_name": "BONNIE",
        "middle_name": "MICHELLE",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.