Bonny Lee Saxon, BA, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

417 Issued in ME

Practice address

129 Water St
Randolph, ME 04346-5101

Phone

(207) 582-8158

NPI assigned

Nov 24, 2008

Last updated

Nov 24, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1760637342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WATER ST",
            "city": "RANDOLPH",
            "state": "ME",
            "postal_code": "043465101",
            "telephone_number": "207-582-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WATER ST",
            "city": "RANDOLPH",
            "state": "ME",
            "postal_code": "043465101",
            "telephone_number": "207-582-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXON",
        "first_name": "BONNY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "BA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VC0000105553",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Randolph, ME
• Providers in Randolph, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.