Knice La'Re Bonner

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

153962 Issued in OH

Practice address

3347 Evanston Ave
Cincinnati, OH 45207-1914

Phone

(513) 338-3165

NPI assigned

Jan 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Knice Bonner

  • Adult Care Home Facility
  • Cincinnati, OH
  • NPI 1326426909
  NPD (past) Authorized official

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1659816510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 EVANSTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071914",
            "telephone_number": "513-338-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 EVANSTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071914",
            "telephone_number": "513-338-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "KNICE",
        "middle_name": "LA'RE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "153962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Bonnell, M.ED, AT, ATC
• Laura Jean Knopp Bonnell, RDH
• April S Bonner
• Jaelyn Bonner
• Ketra Bonner
• Nneka Bonner
• Sheila Yvonne Bonner, CNP
• Jordan Bradley Bonomo, MD
• Raymond Arthur Bonomo, D.M.D
• Ama Bonsu, APRN

• Licensed Practical Nurse in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.