Adriana A Bonilla

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

161284 Issued in AZ

Practice address

1510 E Flower St
Phoenix, AZ 85014-5698

Phone

(602) 530-6900

NPI assigned

Nov 17, 2019

Last updated

Nov 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1417592197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14347 W CHARTER OAK RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795655",
            "telephone_number": "623-208-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145698",
            "telephone_number": "602-530-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "ADRIANA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "161284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Caterino Bonfiglio, MD
• Roxanne Bonfiglio, PSY.D.
• Susan Bonfiglio, PA-C
• Sara Bonham
• Emmanuel Bonilla-Segura, PT, DPT
• Briauna Mae Bonilla
• Gabriel L Bonilla, MD
• Pamela Ann Bonilla, LPC-21205
• Christopher L Bonin, D.C.
• Bonita Women's Care, P.L.C.

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; 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.