Lydia M Bonner, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

115121 Issued in AL

Practice address

1328 Old Stage Rd
Repton, AL 36475-9433

Phone

(251) 593-1227

Fax

(833) 760-3746

NPI assigned

Sep 21, 2020

Last updated

Dec 4, 2025By 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

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lydia.bonner.1@34013.direct.athenahealth.com

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.

• Escambia County Alabama Community Hospitals, Inc

  dba Atmore Community Hospital

  • Rural Acute Care Hospital
  • Atmore, AL
  • NPI 1124073879

  Clinic/Center

  Medicare reassignment NPD
• Gulf Coast Health & Wellness, LLC

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1588402341

  Clinic/Center

  Medicare reassignment NPD
• Ies Alabama PLLC

  • Emergency Medicine Physician
  • Foley, AL
  • NPI 1053027276

  Clinic/Center

  Medicare reassignment NPD
• Escambia County Alabama Community Hospitals, Inc

  dba ACH Complete Care

  • Family Medicine Physician
  • Atmore, AL
  • NPI 1740895200
  NPD
• Escambia County Alabama Community Hospitals, Inc.

  dba Ach Primary Care

  • Rural Health Clinic/Center
  • Atmore, AL
  • NPI 1659510931
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1386250710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 OLD STAGE RD",
            "city": "REPTON",
            "state": "AL",
            "postal_code": "364759433",
            "telephone_number": "251-593-1227",
            "fax_number": "833-760-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 OLD STAGE RD",
            "city": "REPTON",
            "state": "AL",
            "postal_code": "364759433",
            "telephone_number": "251-593-1227",
            "fax_number": "833-760-3746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 S Three Notch St",
            "address_purpose": "LOCATION",
            "city": "Andalusia",
            "state": "AL",
            "postal_code": "364205399",
            "country_code": "US",
            "telephone_number": "334-222-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNER",
        "first_name": "LYDIA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "115121",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenox Medical Clinic
• Daniel Jarrod Sprinkle, NRP
• Max Till

• Family Nurse Practitioner in Repton, AL
• Providers in Repton, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.