Active NPI
Bonnie J Powers, MT(ASCP)
- Medical Technologist
- Boca Raton, FL
National Provider Identifier
1568660819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- SU 26806
- Practice address
- 5901 Broken Sound Pkwy
Ste. 500
Boca Raton, FL 33487-2773 - Phone
- (561) 367-1175
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | SU 26806 | FL | Primary |
Addresses
Primary practice location
5901 Broken Sound Pkwy
Ste. 500
Boca Raton, FL 33487-2773
Mailing address
539 Azalea Dr
#9
Destin, FL 32541-2369
Phone (850) 240-2299
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
| License | State | Type | Specialty |
|---|---|---|---|
| SU 26806 | FL | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1568660819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 AZALEA DR",
"address_2": "#9",
"city": "DESTIN",
"state": "FL",
"postal_code": "325412369",
"telephone_number": "850-240-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BROKEN SOUND PKWY",
"address_2": "STE. 500",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872773",
"telephone_number": "561-367-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "BONNIE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MT(ASCP)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "FL",
"license": "SU 26806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.