Bonnie Lou Sikkema, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN054082 Issued in AZ

Practice address

701 N Carmichael Ave
Sierra Vista, AZ 85635-1160

Phone

(520) 515-2950

Fax

(520) 515-2951

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831226927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 S SHOSHONI AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856508107",
            "telephone_number": "520-515-2950",
            "fax_number": "520-515-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CARMICHAEL AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351160",
            "telephone_number": "520-515-2950",
            "fax_number": "520-515-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKKEMA",
        "first_name": "BONNIE",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN054082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Vista Regional Health Center Medical Group LLC (Sierra Vista Medical Group Internal Medicine)
• Sierra Vista Regional Health Center Medical Group LLC (Canyon Vista Medical Group)
• Sierra Vista Regional Health Center Medical Group LLC (Sierra Vista Medical Group Family Medicine)
• Sierra Vista Vision
• Samuel Nelson Sigoloff, D.O.
• Bruce E Silva, M.D.
• Tori Lou Silva, RN
• William Silva
• Jacob Nathaniel Silvers, PHARMD
• Jackson G Simon

• School Registered Nurse in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• School Registered Nurse in Arizona

• 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.

Verify at the official NPI Registry.