Active NPI
Bonnie S Budd, PPCNP-BC (PEDIATRIC
- Pediatric Nurse Practitioner
- Dobbs Ferry, NY
National Provider Identifier
1417034091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F380602
- Practice address
- One Echo Hill
The Children's Village
Dobbs Ferry, NY 10522 - Phone
- (914) 693-0600
- Fax
- (914) 693-4146
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F380602 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | F380602 | NY | Primary |
Addresses
Primary practice location
One Echo Hill
The Children's Village
Dobbs Ferry, NY 10522
Mailing address
One Echo Hills
The Children's Village Medical Department
Dobbs Ferry, NY 10522
Phone (914) 693-0600
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F380602 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Planning of South Central New York, Inc. | Past | Accepting new patients | |
| Childrens Village | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6285/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Dobbs Ferry, NY
- NPI 1376832931
-
- Non-Surgical Family Planning Clinic/Center
- Oneonta, NY
- NPI 1033114004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1417034091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE ECHO HILLS",
"address_2": "THE CHILDREN'S VILLAGE MEDICAL DEPARTMENT",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "10522",
"telephone_number": "914-693-0600",
"fax_number": "914-693-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE ECHO HILL",
"address_2": "THE CHILDREN'S VILLAGE",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "10522",
"telephone_number": "914-693-0600",
"fax_number": "914-693-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDD",
"first_name": "BONNIE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "PPCNP-BC (PEDIATRIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F380602",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F380602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dobbs Ferry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.