Bernadine Bouknight

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1050 E Cactus Ave
1042
Las Vegas, NV 89183-7364

Phone

(804) 721-6919

NPI assigned

Apr 30, 2014

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 Arnold Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1497165302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E CACTUS AVE",
            "address_2": "1042",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837364",
            "telephone_number": "804-721-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E CACTUS AVE",
            "address_2": "1042",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837364",
            "telephone_number": "804-721-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUKNIGHT",
        "first_name": "BERNADINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "ARNOLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Troye Boudreaux
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• Margaritte Allysen Bascon Bouffard
• Mathew Bouffard
• Boulder Crossings Dental Partners PLLC
• Boulder Dental Group, LLC
• Boulder Foot & Ankle Center, LTD.
• Boulder Primary & Urgent Care LLC
• Hailey Roberts Bouldin, MEDICAL STUDENT

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.