Individual provider Active NPI

Yolanda Bonefant, SLP-A

  • Speech-Language Assistant
  • Clermont, FL
National Provider Identifier
1760195853
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI-6012 Issued in FL
Practice address
365 Citrus Tower Blvd Ste 106
Clermont, FL 34711-6532
Phone
(321) 276-5054
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI-6012 FL Primary

Addresses

Primary practice location

365 Citrus Tower Blvd Ste 106
Clermont, FL 34711-6532

Mailing address

6 N Eustis St
Eustis, FL 32726-3408
Phone (321) 276-5054

Other practice location 1

6 N Eustis St
Eustis, FL 32726-3408
Phone (321) 276-5054

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SI-6012FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1760195853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263408",
            "telephone_number": "321-276-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CITRUS TOWER BLVD STE 106",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116532",
            "telephone_number": "321-276-5054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 N Eustis St",
            "address_purpose": "LOCATION",
            "city": "Eustis",
            "state": "FL",
            "postal_code": "327263408",
            "country_code": "US",
            "telephone_number": "321-276-5054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONEFANT",
        "first_name": "YOLANDA",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI-6012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.