Active NPI
Ann Bonpensiero, CDE/ RD
- Registered Dietitian
- Marana, AZ
National Provider Identifier
1780780411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 719248
- Practice address
- 13644 N Sandario Rd
Marana, AZ 85653-8579 - Phone
- (520) 682-4111
- Fax
- (520) 682-3817
- NPI assigned
- Sep 16, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 719248 | AZ | Primary |
Addresses
Primary practice location
13644 N Sandario Rd
Marana, AZ 85653-8579
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 818-3616
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780780411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-818-3616",
"fax_number": "520-818-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13644 N SANDARIO RD",
"city": "MARANA",
"state": "AZ",
"postal_code": "856538579",
"telephone_number": "520-682-4111",
"fax_number": "520-682-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONPENSIERO",
"first_name": "ANN",
"credential": "CDE/ RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "719248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marana, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.