Jessica Nicole Boniol, MSN, FNP-BC, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP120667 Issued in TX

Practice address

5148 Village Creek Dr Unit 300
Plano, TX 75093-5064

Phone

(469) 661-1100

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jessica Nicole Drain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jessica Boniol, PLLC

  • Family Medicine Physician
  • McKinney, TX
  • NPI 1508367525
  NPD Authorized official
• Modern Male T-Clinic, P.a.

  • General Practice Physician
  • Dallas, TX
  • NPI 1518389022
  NPD (past)
• The Colony Total Wellness Clinic, PLLC

  • Adult Medicine Physician
  • The Colony, TX
  • NPI 1669977831
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497034458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SPARROW HAWK",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705849",
            "telephone_number": "469-585-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5148 VILLAGE CREEK DR UNIT 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935064",
            "telephone_number": "469-661-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 Virginia Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750715400",
            "country_code": "US",
            "telephone_number": "972-542-3300",
            "fax_number": "972-542-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONIOL",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "724324",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DRAIN",
            "middle_name": "NICOLE",
            "credential": "RN, MSN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John David Bondy, MD
• Bone & Spine Specialists
• Bone Express PLLC
• Alan Ray Bonebrake, D.C.
• Mildret H Bonilla
• Angela Bonitto, RPH
• Lissa Bonnstetter, BCBA
• Augustina B Bonsu, NP
• Diana Boone, L.P.C.
• Kelsi A Boone

• All providers in Plano, TX
• Family Nurse Practitioner in Texas

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