Caroline Adams Bonaventure, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

533 Bolivar St Ste 566
New Orleans, LA 70112-1349

Phone

(504) 568-4785

NPI assigned

Apr 8, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1720720923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BOLIVAR ST STE 566",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 BOLIVAR ST STE 566",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121349",
            "telephone_number": "504-568-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVENTURE",
        "first_name": "CAROLINE",
        "middle_name": "ADAMS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2584707",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Bolton, M.D.
• Nathan Michael Bolton, M.D.
• Joann Modupe Bolude, M.D.
• Julia Dorothy Bommarito, PHARMD
• Laura S Bonanno, CRNA
• Brittany Bond, M.D.
• Tulio Bonesi Alvarenga
• Gasper James Bongiovani, LCSW
• Miguel Bonilla Moreno, MD
• Shantell Bonilla, RN

• Student in an Organized Health Care Education/Training Program in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.