Candice Bonilla

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

635520 Issued in NY

Practice address

7865 Lake Shore Rd
Angola, NY 14006-9745

Phone

(716) 544-2770

NPI assigned

Nov 1, 2018

Last updated

Sep 29, 2026By 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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1457828964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 LAKE SHORE RD",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 LAKE SHORE RD",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069745",
            "telephone_number": "716-544-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "CANDICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Lynn Balcerzak, BSN-RN
• Ashley S Bardo, OTR/L
• Patricia Jane Binaxas, RN
• David Alan Bindig, MS, OTR
• Dianne Dorothy Bittinger, R.N.
• Louis R Buchman, DPT
• Patricia Canada, LCSW-R
• Barbara Ellen Caruso, MSED
• Megan Case, LPN
• Janice Marie Catalano, OT

• Registered Nurse in Angola, NY
• Providers in Angola, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.