Patricia D Boone-Edgerton Longoni

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1921 S Alma School Rd
315
Mesa, AZ 85210-3036

Phone

(480) 755-5553

Fax

(480) 456-2964

NPI assigned

Mar 8, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Tree of Life Ministries

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1346404613
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1679896450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S ALMA SCHOOL RD",
            "address_2": "315",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103036",
            "telephone_number": "480-755-5553",
            "fax_number": "480-456-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S ALMA SCHOOL RD",
            "address_2": "315",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103036",
            "telephone_number": "480-755-5553",
            "fax_number": "480-456-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE-EDGERTON LONGONI",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TREE OF LIFE INC",
            "identifier": "30-0123454",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Allison Bongianni, OTR/L
• Gianna Maree Bongiorno
• Scott W Bonhus, R.PH.
• Jessica Lynette Bonner, RN,BSN,CNOR,RNFA
• Janice Bonnett, NP
• Avery Dean Booth, PMHNP-BC
• Janette Smith Booth, M.S. CCC-SLP
• Kelsey Booth
• Summer Cheyenne Booth, DDS
• Lori Marie Bordenave, PT

• Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.