Individual provider Active NPI

Edward C Bonin

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1639348931
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN056355 AP02805 Issued in LA
Practice address
1430 Tulane Ave
SL37
New Orleans, LA 70112-2632
Phone
(504) 988-1667
Fax
(504) 988-3619
NPI assigned
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN056355 AP02805 LA Primary

Addresses

Primary practice location

1430 Tulane Ave
SL37
New Orleans, LA 70112-2632

Mailing address

1026 Esplanade Ave
New Orleans, LA 70116-1945
Phone (504) 523-7646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20080521000156 LA Practitioner - Nurse Practitioner 2668541335 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN056355 AP02805LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Dec 26, 2009 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Dec 26, 2009 Accepting new patients
Childrens Hospital Medical Practice Corporation Nurse Practitioner CurrentSince Feb 26, 2020 Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients

Locations

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#22
New Orleans, LA 70112

1430 Tulane Ave
#37
New Orleans, LA 70112
Phone (504) 988-5456

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

611 N Rampart St
New Orleans, LA 70112
Phone (504) 584-1112

Organizations & group practices 4

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1639348931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 ESPLANADE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701161945",
            "telephone_number": "504-523-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL37",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-1667",
            "fax_number": "504-988-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIN",
        "first_name": "EDWARD",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN056355 AP02805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.