Individual provider Active NPI

Bonnie Henley, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1649656240
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20235 Issued in TN
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

Updated by the provider on Feb 9, 2024

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 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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170109000358 TN Practitioner - Nurse Practitioner 3779864624 Reassigns benefits to 2 organizations
I20250523000335 DC Practitioner - Nurse Practitioner 3779864624 Reassigns benefits to 1 organization

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
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

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 Hospital, Johnson City, TN, CCN 440063
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184
  • Sycamore Shoals Hospital Hospital, Elizabethton, TN, CCN 440018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20235TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Nov 20, 2016 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jun 23, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 15, 2020 Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Jun 23, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 20, 2016 Accepting new patients
Blue Ridge Medical Management Corpoartion Family CurrentSince Mar 15, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.