Bonnie Jean Matacale, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

195588-1 Issued in NY

Practice address

25 Ellas Ave
Bath, NY 14810-1107

Phone

(607) 776-4110

Fax

(607) 776-6873

NPI assigned

Nov 16, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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.

• Bath Central School District

  • Registered Nurse
  • Bath, NY
  • NPI 1730430901
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1801163050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELLAS AVE",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101107",
            "telephone_number": "607-776-4110",
            "fax_number": "607-776-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELLAS AVE",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101107",
            "telephone_number": "607-776-4110",
            "fax_number": "607-776-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATACALE",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "195588-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Marshall, PSYD
• Kathryn M. Martin, DTR
• Renee Lynn Martindale, RN, BSN
• Sandra D Martins-Skolny
• Kimberly Anne Mason-Coxe, MSW
• Nicolle Anne Matthews, RPH
• Reagan R Matwiejow, RN
• Diane Elizabeth McAllister, M.S.W.
• Heidi McClain
• Matthew R McCloskey, P.T.

• School Registered Nurse in Bath, NY
• Providers in Bath, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.