Kristen G Bonavilla, CNM

Primary specialty

High-Risk Obstetric Registered NurseTaxonomy code 163WX0002X

License

558493-1 Issued in NY

Practice address

24 Flickinger CT
Amherst, NY 14228-3393

Phone

(610) 428-5286

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497701155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FLICKINGER CT",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283395",
            "telephone_number": "610-428-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FLICKINGER CT",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283393",
            "telephone_number": "610-428-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVILLA",
        "first_name": "KRISTEN",
        "middle_name": "G",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "NY",
            "license": "558493-1",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001205-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Boeing, MSW
• Sarah Rose Bogart, PA
• Meghan Lynn Bohince, MD
• Sarah Boice, M.D.
• Emily M Boka, LMT
• Carly Bone, MS, RD, CDN
• Anthony Frances Bongiovanni, PHD
• Mary Ellen Bonnar, MS ED
• Renee Bonner, RNFA RN FIRST ASSIST
• Katherine L. Bookmiller, RN

• Registered Nurse in Amherst, NY
• Providers in Amherst, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.