Active NPI
Crystal L Bonner
- Home Health Agency
- Springfield, OH
National Provider Identifier
1689336638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 2546 Kenton St
Springfield, OH 45505-3353 - Phone
- (937) 536-9481
- NPI assigned
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2546 Kenton St
Springfield, OH 45505-3353
Mailing address
2546 Kenton St
Springfield, OH 45505-3353
Phone (937) 536-9481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1203610 | Other | OH | DODD CERTIFICATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1689336638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 KENTON ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455053353",
"telephone_number": "937-536-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2546 KENTON ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455053353",
"telephone_number": "937-536-9481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "CRYSTAL",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD CERTIFICATION",
"identifier": "1203610",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.