Tamirah Florence Bonaby

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10064 Issued in MN

Practice address

1411 Vermillion St
Hastings, MN 55033-2844

Phone

(651) 438-2200

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1508558263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 VERMILLION ST",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332844",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 VERMILLION ST",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332844",
            "telephone_number": "651-438-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONABY",
        "first_name": "TAMIRAH",
        "middle_name": "FLORENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanaya Darayus Bharucha, MD
• Bio-Medical Applications of Minnesota, Inc.
• Jennifer Marie Bloemendal, DPT
• Cynthia Bocwinski, PHARM.D
• Bolat Incorporated
• Boomer Ride
• Jane Borner, MSPT
• Daniel Thomas Boston, LICSW
• Robert Bradley, D.C
• Meghan Elizabeth Brant, PAC

• Family Nurse Practitioner in Hastings, MN
• Providers in Hastings, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.