Active NPI
Kathy Bonapace, M.D.
- Obstetrics & Gynecology Physician
- Rochester, MN
National Provider Identifier
1710931563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 38668
- Practice address
- 2132 Glenview LN NE
Rochester, MN 55906-8398 - Phone
- (507) 292-9089
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 38668 | MN | Primary |
Addresses
Primary practice location
2132 Glenview LN NE
Rochester, MN 55906-8398
Mailing address
2132 Glenview LN NE
Rochester, MN 55906-8398
Phone (507) 292-9089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710931563 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38668 | MN | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1710931563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 GLENVIEW LN NE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559068398",
"telephone_number": "507-292-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 GLENVIEW LN NE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559068398",
"telephone_number": "507-292-9089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONAPACE",
"first_name": "KATHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "38668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710931563",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.