Active NPI
Bonita Thibault Borger, APRN
- Registered Nurse
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 855718
- Practice address
- 1221 W Ben White Blvd Ste 200B
Austin, TX 78704-7002 - Phone
- (877) 800-5722
- NPI assigned
- Sep 30, 2009
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 89081 | CT | |
| Registered Nurse | 163W00000X | 041-354024 | IL | |
| Family Nurse Practitioner | 363LF0000X | 004225 | CT | |
| Family Nurse Practitioner | 363LF0000X | 209008456 | IL | |
| Family Nurse Practitioner | 363LF0000X | AP126248 | TX | |
| Registered Nurse | 163W00000X | 855718 | TX | Primary |
Addresses
Primary practice location
1221 W Ben White Blvd Ste 200B
Austin, TX 78704-7002
Mailing address
2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236346 | Medicaid | CT |
Other names 1
- Miss Bonita Suzanne Thibault
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bonita.borger.p1@direct.lscctx.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89081 | CT | MD | Registered Nurse |
| 041-354024 | IL | MD | Registered Nurse |
| 855718 | TX | MD | Registered Nurse |
| 004225 | CT | MD | Family Nurse Practitioner |
| 209008456 | IL | MD | Family Nurse Practitioner |
| AP126248 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Circle of Care | Current | Accepting new patients | |
| Lone Star Circle of Care | Current | Accepting new patients | |
| Lone Star Circle of Care | Past | Accepting new patients |
Locations
1221 W Ben White Blvd
Austin, TX 78704
Phone (512) 250-0561
1221 W Ben White Blvd
Ste B100B200
Austin, TX 78704
1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249
2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908
205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207
2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207
Interoperability endpoints
- bonita.borger.1@29821.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Georgetown, TX
- NPI 1891746970
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1417195942
-
- Federally Qualified Health Center (FQHC)
- Georgetown, TX
- NPI 1639129331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1790019271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 WILLIAMS DR STE 107",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283269",
"telephone_number": "877-800-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 W BEN WHITE BLVD STE 200B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047002",
"telephone_number": "877-800-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGER",
"first_name": "BONITA",
"middle_name": "THIBAULT",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "89081",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-354024",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "004225",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209008456",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP126248",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "855718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236346",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bonita.borger.p1@direct.lscctx.nextgenshare.com",
"affiliation": "N",
"address_1": "1221 W Ben White Blvd Ste 200B",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787047002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BONITA",
"last_name": "THIBAULT",
"middle_name": "SUZANNE",
"prefix": "MISS",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.