Bonnie Rose Haley

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

191063 Issued in TX

Practice address

1861 County Road 149
Flint, TX 75762-6961

Phone

(903) 283-1398

NPI assigned

Mar 20, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2018.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1740784347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 COUNTY ROAD 149",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757626961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 COUNTY ROAD 149",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757626961",
            "telephone_number": "903-283-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "BONNIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "191063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Gilbert, NP-C
• Brandon Michael Gill, RN
• Emily Shea Glaspie, PHARMD
• Makesha Deann Glenn
• Theodore Israel Gould, MD
• Mary Hayden, LVN
• Cheryl Lynn Henderson, FNP
• Jodi Hicken, LCSW
• Matthew Hicks
• Diana Nicole Hill, COTA

• All providers in Flint, TX
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.