Evelyne Yuvette Bonton Kelly

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

03-0297103 Issued in CA

Practice address

197 Spinnaker Way
Vallejo, CA 94590-8136

Phone

(707) 580-1332

NPI assigned

Feb 18, 2015

Last updated

Feb 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1477944080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 SPINNAKER WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945908136",
            "telephone_number": "707-580-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 SPINNAKER WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945908136",
            "telephone_number": "707-580-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTON KELLY",
        "first_name": "EVELYNE",
        "middle_name": "YUVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "03-0297103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Sean Bolton
• Sruthi Bonda
• Catherine Ann Bongiovanni, OTR
• Vivian Castillo Bonifacio, D.D.S.
• Galadriel Ann Bonnel, RN, MSN, FNP
• Latisha Booker
• Boomers Medical Transportation, Inc.
• Editha Legaspi Boongaling, DMD
• Peter P. Boorstein, MD
• Madhusudan Borde, MD

• Addiction (Substance Use Disorder) Counselor in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.