Indira Bonny, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2975681 Issued in NY

Practice address

11126 202ND St
Saint Albans, NY 11412-2142

Phone

(917) 858-9713

NPI assigned

Feb 18, 2010

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1679895643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 202ND ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122142",
            "telephone_number": "917-858-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 202ND ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122142",
            "telephone_number": "917-858-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNY",
        "first_name": "INDIRA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2975681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Nicole Boggs, NP
• Bonavera Acupuncture P.C.
• Justine A Bonet, RN
• Rianne A Bonitto, RPH, PHARM.D
• Tesha Bonner-Flowers, RN
• Nancy Boucicault
• Ashlie Bourne
• Ayanna Brabham, MSED
• Cheryl E Brabham, M.S.ED
• Josette Iola Brand, MSOTR/L

• Licensed Practical Nurse in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.