Active NPI
Ami D. Bonman, RN
- Registered Nurse
- Chesapeake, VA
National Provider Identifier
1649869918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001295574
- Practice address
- 2981 S Military Hwy
Chesapeake, VA 23323-5810 - Phone
- (757) 558-9830
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 0001295574 | VA | Primary |
Addresses
Primary practice location
2981 S Military Hwy
Chesapeake, VA 23323-5810
Mailing address
201 W Tazewell St Apt 202
Norfolk, VA 23510-1317
Phone (205) 886-4067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345983 | Other | VA | CVSREQUIREDMETOFILLTHISOUT |
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 |
|---|---|---|---|
| 0001295574 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Virginia CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1649869918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W TAZEWELL ST APT 202",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101317",
"telephone_number": "205-886-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2981 S MILITARY HWY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233235810",
"telephone_number": "757-558-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONMAN",
"first_name": "AMI",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001295574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVSREQUIREDMETOFILLTHISOUT",
"identifier": "12345983",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Kendra L Bomgardner, MOT, ORT/L
- Bon Secours Depaul Medical Center (Bon Secours Fastcare)
- Bon Secours Depaul Medical Center Inc (Bon Secours Greenbrier Medical Associates)
- Tonya Bond, RESIDENT IN COUNSELI
- Taleisha Bondhill
- Danielle Rene Boomer, DPT
- Alyssa Boone
- Shantel Nicole Boone
- Tammy Boone
- Laura Ellen Borowski, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.