Active NPI
Sara L Bonn, AT
- Specialist
- Valley City, ND
National Provider Identifier
1669322004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 415 2ND Ave NE Ste 202
Valley City, ND 58072-3061 - Phone
- (701) 253-6409
- NPI assigned
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Specialist | 174400000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
415 2ND Ave NE Ste 202
Valley City, ND 58072-3061
Mailing address
520 3Rd St NW
Jamestown, ND 58401-2968
Phone (701) 253-6300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2026.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1669322004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 3RD ST NW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584012968",
"telephone_number": "701-253-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 2ND AVE NE STE 202",
"city": "VALLEY CITY",
"state": "ND",
"postal_code": "580723061",
"telephone_number": "701-253-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONN",
"first_name": "SARA",
"middle_name": "L",
"credential": "AT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley City, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.