Krista Hawthorne-Bonanno, KRISTA BONANNO

Primary specialty

SpecialistTaxonomy code 174400000X

License

173389021 Issued in NY

Practice address

114 Chandler Ave
Staten Island, NY 10314-2925

Phone

(718) 477-0351

Fax

(718) 477-0351

NPI assigned

Jul 12, 2012

Last updated

Jul 12, 2012By 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 names 1

• Miss Krista Hawthorne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1801151188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CHANDLER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142925",
            "telephone_number": "718-477-0351",
            "fax_number": "718-477-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CHANDLER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142925",
            "telephone_number": "718-477-0351",
            "fax_number": "718-477-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE-BONANNO",
        "first_name": "KRISTA",
        "name_prefix": "Mrs.",
        "credential": "KRISTA BONANNO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "173389021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "HAWTHORNE",
            "prefix": "MISS",
            "credential": "MSED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Haviaras, FNP-BC
• Hawk Car and Limo Service (JRide)
• Samuel Isaac Hawkins, M.D.
• Taurean Hawkins
• Andrew Hawks
• Cheryl Hayden
• Andrea Ann Haylock
• Leslie J Haymes
• Saroj Arvind Hazari, MD
• Susan Jane Hazelrig, CCC/SLP

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.