Individual provider Active NPI

Bonnie F. Ford, NP

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1669597191
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024034660 Issued in VA
Practice address
2000 Bremo Rd
Suite 205
Richmond, VA 23226-2440
Phone
(804) 523-3712
Fax
(804) 523-7736
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024034660 VA Primary

Addresses

Primary practice location

2000 Bremo Rd
Suite 205
Richmond, VA 23226-2440

Mailing address

PO Box 7650
Henrico, VA 23231-0150
Phone (804) 507-1644

Other identifiers 2

IdentifierTypeStateIssuer
006258506MedicaidVA
C09646OtherVAGROUP MEDICARE NUMBER

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024034660VAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: williamfitzhughmdpc.bonnieford@123530.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1669597191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7650",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232310150",
            "telephone_number": "804-507-1644",
            "fax_number": "804-507-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD",
            "address_2": "SUITE 205",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-523-3712",
            "fax_number": "804-523-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BONNIE",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024034660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006258506",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "C09646",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.