Individual provider Active NPI

Bonnie S Budd, PPCNP-BC (PEDIATRIC

  • Pediatric Nurse Practitioner
  • Dobbs Ferry, NY
National Provider Identifier
1417034091
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380602 Issued in NY
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
F380602NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning of South Central New York, Inc. Past Accepting new patients
Childrens Village Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.