Active NPI
Sabrina Lee-Frye Bonner, STNA
- Nurse's Aide
- Newark, OH
National Provider Identifier
1497401772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 402023801217
- Practice address
- 546 N Cedar St
Newark, OH 43055-6444 - Phone
- (740) 973-7161
- NPI assigned
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 402023801217 | OH | Primary |
Addresses
Primary practice location
546 N Cedar St
Newark, OH 43055-6444
Mailing address
546 N Cedar St
Newark, OH 43055-6444
Phone (740) 973-7161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NEWARK |
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 |
|---|---|---|---|
| 402023801217 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1497401772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 N CEDAR ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430556444",
"telephone_number": "740-973-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 N CEDAR ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430556444",
"telephone_number": "740-973-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "SABRINA",
"middle_name": "LEE-FRYE",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2022-02-25",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "402023801217",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NEWARK",
"affiliation": "N",
"endpointDescription": "bonnersabrina@gmail.com",
"address_1": "546 N Cedar St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430556444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.