Lillian Bonham, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN006841 Issued in PA

Practice address

31 Cambridge LN Ste a
Newtown, PA 18940-3329

Phone

(215) 968-5151

Fax

(215) 968-5252

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Margiotti & Kroll Pediatrics, P.C.

  • Pediatrics Physician
  • Trevose, PA
  • NPI 1306800909
  NPD (past)
• Margiotti & Kroll Pediatrics, PC

  • Psychologist
  • Newtown, PA
  • NPI 1942671441
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1639728629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CAMBRIDGE LN STE A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403329",
            "telephone_number": "215-968-5151",
            "fax_number": "215-968-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CAMBRIDGE LN STE A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403329",
            "telephone_number": "215-968-5151",
            "fax_number": "215-968-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "LILLIAN",
        "credential": "LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtaylor@mkpeds.com",
            "affiliation": "N",
            "address_1": "31 Cambridge Ln Ste A",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189403329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blossom Nutrition Counseling LLC
• Bluprint Counseling LLC
• Deborah J Bob, APRN
• Jennifer Boggs, RDH
• Marley Bongart
• Harmony Bonnes, DO
• David Charles Borish, D.M.D
• David Lee Bowers, PT
• Dina Bowers, M.P.T
• Theresa M Bowers, PT

• Registered Dietitian in Newtown, PA
• Providers in Newtown, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.