Active NPI
Bonnie Ann Sears Prado, FNP-BC
- Family Nurse Practitioner
- Hilton Head, SC
National Provider Identifier
1578029120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21886
- Practice address
- 15 Northridge Dr
Hilton Head, SC 29926-3764 - Phone
- (843) 681-6612
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21886 | SC | Primary |
Addresses
Primary practice location
15 Northridge Dr
Hilton Head, SC 29926-3764
Mailing address
10120 Blue Bell Dr
Ft Worth, TX 76108-7111
Phone (817) 913-8665
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 |
|---|---|---|---|
| 21886 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers in Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21022/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Hilton Head Island, SC
- NPI 1053435867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1578029120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 BLUE BELL DR",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761087111",
"telephone_number": "817-913-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 NORTHRIDGE DR",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299263764",
"telephone_number": "843-681-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS PRADO",
"first_name": "BONNIE",
"middle_name": "ANN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "21886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilton Head, SC
- Patricia Marie Schneider, OTR
- Elizabeth Malcolm Schoon, L.AC.,M.AC., LMT
- Ashley Lauren Schroeder, MS, LPC-A
- Sea Pines Circle Immediate Care, LLC
- Sea Pines Circle Primary Care, LLC
- Seaside Family Chiropractic
- Brandon M Shapiro, D.C
- Douglas Bennett Silverman, PSY.D.
- Sarah Hallock Simons, DPT
- Omega Smalls-Francis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.