Organization Active NPI

Jessica Boniol, PLLC

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1508367525
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP120667 Issued in TX
Legal business name
JESSICA BONIOL, PLLC
Practice address
213 Sparrow Hawk
McKinney, TX 75070-5849
Phone
(469) 585-2713
NPI assigned
Feb 25, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Jessica Nicole Boniol, FNP-BCNPI 1497034458
Title
Nurse Practitioner
Phone
(469) 585-2713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP120667 TX Primary

Addresses

Primary practice location

213 Sparrow Hawk
McKinney, TX 75070-5849

Mailing address

213 Sparrow Hawk
McKinney, TX 75070-5849
Phone (469) 585-2713

Other practice location 1

5148 Village Creek Dr Unit 300
Plano, TX 75093-5064
Phone (469) 661-1100

National Provider Directory

National Provider Directory

Locations

5148 Village Creek Dr
Unit 300
Plano, TX 75093
Phone (469) 661-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1508367525",
    "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": "213 SPARROW HAWK",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705849",
            "telephone_number": "469-585-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5148 Village Creek Dr Unit 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935064",
            "country_code": "US",
            "telephone_number": "469-661-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESSICA BONIOL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BONIOL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "469-585-2713",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP120667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • 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.