Active NPI
Bonnie Henley, FNP
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20235
- Practice address
- 444 Clinchfield St Ste 103
Kingsport, TN 37660-3859 - Phone
- (423) 578-1518
- NPI assigned
- Aug 5, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20235 | TN | Primary |
Addresses
Primary practice location
444 Clinchfield St Ste 103
Kingsport, TN 37660-3859
Mailing address
444 Clinchfield St Ste 103
Kingsport, TN 37660-3859
Phone (423) 578-1518
Other practice location 1
2 Sheridan Sq
Ste 200
Kingsport, TN 37660-7399
Phone (423) 246-8061
Other practice location 2
701 Med Tech Pkwy Ste 300
Johnson City, TN 37604-2365
Phone (423) 232-8301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
444 Clinchfield St
Suite 103
Kingsport, TN 37660-3859
Phone (423) 578-1518
701 Med Tech Pkwy
Suite 300
Johnson City, TN 37604-2365
Phone (423) 232-8301
Hospital & facility affiliations
- Johnson City Medical Center
- Wellmont Holston Valley Medical Center
- Wellmont Bristol Regional Medical Center
- Franklin Woods Community Hospital
- Sycamore Shoals Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20235 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Blue Ridge Medical Management Corpoartion | Family | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Family | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
701 Med Tech Pkwy
Ste 300
Johnson City, TN 37604
Phone (423) 232-8301
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
2 Sheridan Sq
Ste 200
Kingsport, TN 37660
Phone (423) 224-3100
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
444 Clinchfield St
Ste 103
Kingsport, TN 37660
Phone (423) 548-1518
1851 N George Mason Dr
Ste 4C
Arlington, VA 22207
Phone (703) 717-4250
1635 N George Mason Dr
Ste 430
Arlington, VA 22205
Phone (703) 528-3600
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Interoperability endpoints
- bhenley@brncpc.gwaydirect.com
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
- Neurological Surgery Physician
- Johnson City, TN
- NPI 1417453440
Family
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
- Surgery Physician
- Arlington, VA
- NPI 1710329693
-
- Cardiovascular Disease Physician
- Johnson City, TN
- NPI 1740227131
Family
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- General Acute Care Hospital
- Elizabethton, TN
- NPI 1891801734
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1649656240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 CLINCHFIELD ST STE 103",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603859",
"telephone_number": "423-578-1518",
"fax_number": "423-230-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 CLINCHFIELD ST STE 103",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603859",
"telephone_number": "423-578-1518"
}
],
"practiceLocations": [
{
"address_1": "2 Sheridan Sq",
"address_2": "STE 200",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376607399",
"country_code": "US",
"telephone_number": "423-246-8061",
"fax_number": "423-246-8278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Med Tech Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042365",
"country_code": "US",
"telephone_number": "423-232-8301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENLEY",
"first_name": "BONNIE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "20235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.