Emily Marie Bonham, MS

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

10411226-3602 Issued in UT

Practice address

5121 S Cottonwood St BLDG 3
Murray, UT 84107-5701

Phone

(801) 507-7834

NPI assigned

Jun 23, 2017

Last updated

Jul 20, 2017By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1720508435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 S COTTONWOOD ST BLDG 3",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S COTTONWOOD ST BLDG 3",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075701",
            "telephone_number": "801-507-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "10411226-3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Bokinskie II, DPT
• Jordan Bolinder
• Bruce A. Bolonesi, PA-C
• Sherri Boltz
• Bonfire Revenue
• Austin Booth
• Dustin Lee Boothe, MD
• Ana Lia Borges de Martinez
• Luanne Fakler Borgmeier, OTR
• Karen A Bossler, MD

• Genetic Counselor (M.S.) in Murray, UT
• Providers in Murray, UT by specialty
• Genetic Counselor (M.S.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.