Active NPI
Bonnie McNiel
- Massage Therapist
- Folsom, CA
National Provider Identifier
1396133906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 35272
- Practice address
- 1900 Prairie City Rd
Folsom, CA 95630-9501 - Phone
- (916) 759-4139
- NPI assigned
- Jan 5, 2015
- Last updated
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 35272 | CA | Primary |
Addresses
Primary practice location
1900 Prairie City Rd
Folsom, CA 95630-9501
Mailing address
1454 Southwood Way
Roseville, CA 95747-7305
Phone (916) 759-4139
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 |
|---|---|---|---|
| 35272 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1396133906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 SOUTHWOOD WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957477305",
"telephone_number": "916-759-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PRAIRIE CITY RD",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956309501",
"telephone_number": "916-759-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNIEL",
"first_name": "BONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "35272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
- Molly McKeen, PMHNP-BC
- Emily J McKillican, DC
- Kimberly Patrice McLaughlin, MD
- Kim Somers McLean, PHARM.D.
- Sara McMann, APCC
- Marcus Sean McRae, LMFT
- MD Trans Services Inc
- Ellen M. Mechling, MFT
- Med-7 Urgent Care Center Medical Group (MED7 Urgent Care Center)
- Medical Vision Technology Ophthalmology Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.