Robert Bonilla, REGISTERED DIETICIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

60646159 Issued in WA

Practice address

4241 11TH Ave NE
Suite B
Seattle, WA 98105-4699

Phone

(206) 909-8022

Fax

(206) 909-8022

NPI assigned

May 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1407201080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MERCER ST",
            "address_2": "APT 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024792",
            "telephone_number": "206-909-8022",
            "fax_number": "206-909-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 11TH AVE NE",
            "address_2": "SUITE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054699",
            "telephone_number": "206-909-8022",
            "fax_number": "206-909-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "ROBERT",
        "credential": "REGISTERED DIETICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60646159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisha C Bones, AA
• Alyson Boness, LMHC
• Genet Bonger, NC
• Juliana Bonilla-Velez, M.D.
• Ricardo Bonilla, CNA
• Sarah Bonine, SLP
• Jacquelyn Marie Bonjean, PT
• Emily Susan Bonkowski, LGC
• Alipi Vesselinov Naydenov Bonm, MD PHD
• Catherine J. Bonn, ARNP

• Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.