Organization Active NPI

Bonita Family Practice LLC

  • Health Maintenance Organization
  • Bonita Springs, FL
National Provider Identifier
1609002039
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
BONITA FAMILY PRACTICE LLC
Practice address
9500 Bonita Beach Rd SE
Suite 111
Bonita Springs, FL 34135-4698
Phone
(239) 947-4100
Fax
(239) 992-4100
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Cheryl Lynn E Sweeney
Title
Billing President
Phone
(727) 674-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

9500 Bonita Beach Rd SE
Suite 111
Bonita Springs, FL 34135-4698

Mailing address

9500 Bonita Beach Rd SE
Suite 111
Bonita Springs, FL 34135-4698
Phone (239) 947-4100

National Provider Directory

National Provider Directory

Locations

9500 Bonita Beach Rd SE
Ste 111
Bonita Springs, FL 34135
Phone (239) 947-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20829/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1609002039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BONITA BEACH RD SE",
            "address_2": "SUITE 111",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354698",
            "telephone_number": "239-947-4100",
            "fax_number": "239-992-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BONITA BEACH RD SE",
            "address_2": "SUITE 111",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354698",
            "telephone_number": "239-947-4100",
            "fax_number": "239-992-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "CHERYL LYNN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING PRESIDENT",
        "authorized_official_telephone_number": "727-674-8079"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.