Active NPI
Ellen Bonvie-Hart, RN
- Registered Nurse
- Bluffton, SC
National Provider Identifier
1649868746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 63415
- Practice address
- 266 Landing LN
Bluffton, SC 29909-6091 - Phone
- (617) 480-8624
- NPI assigned
- Jan 5, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 63415 | SC | Primary |
Addresses
Primary practice location
266 Landing LN
Bluffton, SC 29909-6091
Mailing address
266 Landing LN
Bluffton, SC 29909-6091
Phone (617) 480-8624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63415 | Other | SC | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63415 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1649868746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 LANDING LN",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299096091",
"telephone_number": "617-480-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 LANDING LN",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299096091",
"telephone_number": "617-480-8624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONVIE-HART",
"first_name": "ELLEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "63415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "63415",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.