Individual provider Active NPI

Bonnie Edith Adler, C.N.M., N.P

  • Women's Health Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1558327148
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
420354 Issued in NY
Practice address
66 Brinkerhoff St
Plattsburgh, NY 12901-2919
Phone
(518) 561-4430
Fax
(518) 561-2387
NPI assigned
Apr 24, 2006
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 420354 NY Primary
Midwife 176B00000X F000013-1 NY

Addresses

Primary practice location

66 Brinkerhoff St
Plattsburgh, NY 12901-2919

Mailing address

66 Brinkerhoff St
Plattsburgh, NY 12901-2919
Phone (518) 561-4430

Other identifiers 1

IdentifierTypeStateIssuer
01355893MedicaidNY

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)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F000013-1NYMDMidwife
420354NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Central and Western New York, Inc Women's Health Past Accepting new patients
Planned Parenthood of the North Country New York, Inc. PastSince Jan 5, 2016 Accepting new patients
Northern Adirondack Planned Parenthood Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bonnie.adler.p2@direct.usppny.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1558327148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BRINKERHOFF ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012919",
            "telephone_number": "518-561-4430",
            "fax_number": "518-561-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRINKERHOFF ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012919",
            "telephone_number": "518-561-4430",
            "fax_number": "518-561-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "BONNIE",
        "middle_name": "EDITH",
        "credential": "C.N.M., N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "420354",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F000013-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01355893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.