Active NPI
Bonnie Gregory, CRNP
- Adult Health Nurse Practitioner
- Hazleton, PA
National Provider Identifier
1780010751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP013165
- Practice address
- 50 Moisey Drive
Suite 202
Hazleton, PA 18202-9297 - Phone
- (570) 501-6840
- Fax
- (570) 501-6916
- NPI assigned
- Sep 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP013165 | PA | Primary |
Addresses
Primary practice location
50 Moisey Drive
Suite 202
Hazleton, PA 18202-9297
Mailing address
PO Box 1347
Kingston, PA 18704-0347
Phone (570) 288-8881
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013165 | PA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396051200000",
"number": "1780010751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1347",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187040347",
"telephone_number": "570-288-8881",
"fax_number": "570-288-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MOISEY DRIVE",
"address_2": "SUITE 202",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182029297",
"telephone_number": "570-501-6840",
"fax_number": "570-501-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "BONNIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-22",
"last_updated": "2014-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP013165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
- Erica Grant, OTRL
- Aurielle Graziano, DC
- Greater Hazleton Radiology Associates
- Greater Hazleton Radiology Associates
- Greater Hazleton Radiology Associates, LLC
- Griguoli Chiropractic & Rehabilitation Center, P.C.
- Anthony Rocco Griguoli, DC
- Christopher John Grink, MSPT
- Lisa Ann Gryskevicz, OTRL
- Deepak Gupta, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.