Bonita Rutkowski, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-108420 Issued in TX

Practice address

212 W Beth Wald St
El Paso, TX 79938-0707

Phone

(915) 490-9147

NPI assigned

Sep 5, 2018

Last updated

Sep 5, 2018By 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

Other names 1

• Bonnie Gottsman Former name

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1487136578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W BETH WALD ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799380707",
            "telephone_number": "915-490-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W BETH WALD ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799380707",
            "telephone_number": "915-490-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "BONITA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TX",
            "license": "L-108420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "GOTTSMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Mae Runge, LCSW
• Sarah A Rusk, SLPA
• Rhonda Russ, LPC
• Mary Russell
• Margaret Christine Ruth, OTR
• Daniela Maria Ruvalcaba, LPC-ASSOCIATE
• David Ruvalcaba
• Leslie Ann Ruvalcaba
• Maria C Ruvalcaba
• Martha R. Ruvalcaba

• Lactation Consultant (Non-RN) in El Paso, TX
• Providers in El Paso, TX by specialty
• Lactation Consultant (Non-RN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.