Individual provider Active NPI

Bonny Irene Stendahl

  • Adult Companion
  • Kimball, NE
National Provider Identifier
1760287544
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
115 1/2 W 2ND St
Kimball, NE 69145-1200
Phone
(308) 230-0754
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary

Addresses

Primary practice location

115 1/2 W 2ND St
Kimball, NE 69145-1200

Mailing address

115 1/2 W 2ND St
Kimball, NE 69145-1200
Phone (308) 230-0754

Other names 1

  • Bonny Brosier Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1760287544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 1/2 W 2ND ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451200",
            "telephone_number": "308-230-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1/2 W 2ND ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451200",
            "telephone_number": "308-230-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENDAHL",
        "first_name": "BONNY",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNY",
            "last_name": "BROSIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kimball, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.