Koren Kaye Bonlander

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3003 N Richmond St
Appleton, WI 54911-1148

Phone

(920) 730-1028

Fax

(920) 730-9219

NPI assigned

Sep 27, 2019

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

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.

• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Counselor
  • Appleton, WI
  • NPI 1194954941
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1730730920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111148",
            "telephone_number": "920-730-1028",
            "fax_number": "920-730-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111148",
            "telephone_number": "920-730-1028",
            "fax_number": "920-730-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONLANDER",
        "first_name": "KOREN",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Bolen, RN
• David Eric Boll, D.C.
• David R Bond, NP
• Deborah Ann Bongers
• Rajreiona Bonilla
• Christopher L Booker
• Heather Books, PA
• Robert John Booth
• Yashica Booth
• Nicholas R Bope, MD

• Case Manager/Care Coordinator in Appleton, WI
• Providers in Appleton, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.