Individual provider Active NPI

Sabrina Lee-Frye Bonner, STNA

  • Nurse's Aide
  • Newark, OH
National Provider Identifier
1497401772
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
402023801217 Issued in OH
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

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
402023801217OHMDNurse'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.

Verify at the official NPI Registry.