Bonnie L Cullen, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F380613-1 Issued in NY

Practice address

25 Hopkins Rd
Williamsville, NY 14221-4641

Phone

(716) 632-8050

Fax

(716) 632-2297

NPI assigned

Nov 2, 2005

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

State licenses

Practice roles

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.

• Amherst Pediatric Associates, P.C.

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1386943496
  NPD (past)
• Amherst Pediatric Associates, P.C.

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1831180496
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1790776359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214641",
            "telephone_number": "716-632-8050",
            "fax_number": "716-632-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214641",
            "telephone_number": "716-632-8050",
            "fax_number": "716-632-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "BONNIE",
        "middle_name": "L",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380613-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01507868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Crosby, MS ED CCC-SLP
• Jennifer Ivy Crowe
• Denise Cuillo, PA-C
• Cukierski Medical Services, LLC
• Jacob Joseph Cukierski
• Lorraine Cullis, RN
• Thomas Anthony Cumbo, MD
• James Charles Cumella, M.D.
• Rosanne Cummins, RPH
• Cherreathya Curd, LPN

• Pediatric Nurse Practitioner in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.