Active NPI
Bonita S Lee, NP-C
- Nurse Practitioner
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9235385
- Practice address
- 200 Avenue F NE
Winter Haven, FL 33881-4131 - Phone
- (863) 293-1121
- NPI assigned
- Mar 12, 2015
- Last updated
- Mar 12, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9235385 | FL | Primary |
Addresses
Primary practice location
200 Avenue F NE
Winter Haven, FL 33881-4131
Mailing address
PO Box 91543
Lakeland, FL 33804-1543
Phone (863) 670-2554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9235385 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Health Services LLC | Current | Accepting new patients | |
| Heavenly Hearts Home Care Services, LLC | Current | Accepting new patients | |
| Cornerstone Health Services LLC | Current | Accepting new patients |
Locations
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
2445 Lane Park Rd
Tavares, FL 32778
Phone (866) 280-9355
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
Organizations & group practices 3
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Tavares, FL
- NPI 1912327941
-
- Home Health Agency
- Lakeland, FL
- NPI 1679066989
-
dba Cornerstone Centers for Wellbeing
- Mental Health Counselor
- Tavares, FL
- NPI 1174157986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1407249501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91543",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338041543",
"telephone_number": "863-670-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVENUE F NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814131",
"telephone_number": "863-293-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BONITA",
"middle_name": "S",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9235385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.