Active NPI
Bonnie Jean Zon
- Speech-Language Pathologist
- Williamsville, NY
National Provider Identifier
1467601013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0097121
- Practice address
- 222 Culpepper Rd
Williamsville, NY 14221-3655 - Phone
- (716) 632-0137
- NPI assigned
- Sep 18, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0097121 | NY | Primary |
Addresses
Primary practice location
222 Culpepper Rd
Williamsville, NY 14221-3655
Mailing address
222 Culpepper Rd
Williamsville, NY 14221-3655
Phone (716) 632-0137
Other names 1
- Miss Bonnie Jean Licursi
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0097121 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1467601013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 CULPEPPER RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213655",
"telephone_number": "716-632-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 CULPEPPER RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213655",
"telephone_number": "716-632-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZON",
"first_name": "BONNIE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0097121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BONNIE",
"last_name": "LICURSI",
"middle_name": "JEAN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.