Kylie Bonneau

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1167721 Issued in TX

Practice address

2400 Cedar Bend Dr
Austin, TX 78758-5378

Phone

(512) 901-4026

Fax

(512) 901-3940

NPI assigned

Jun 22, 2024

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Austin Diagnostic Clinic PLLC 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Austin Medical Center Hospital, Austin, TX, CCN 450809

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kylie.bonneau@hca8.eclinicaldirectplus.com

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.

• The Austin Diagnostic Clinic, PLLC

  • Nephrology Physician
  • Austin, TX
  • NPI 1497729685

  TX

  Medicare reassignment Care Compare group NPD
• Austin Diagnostic Clinic

  • Hospitalist Physician
  • Austin, TX
  • NPI 1972011658
  NPD
• The Austin Diagnostic Clinic, PLLC

  • Pediatrics Physician
  • Austin, TX
  • NPI 1467426205
  NPD
• Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1619923950
  NPD (past)
• The Austin Diagnostic Clinic, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1104803816
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Davids Healthcare Partnership LP LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1629021845

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1831933076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4026",
            "fax_number": "512-901-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4026",
            "fax_number": "512-901-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEAU",
        "first_name": "KYLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Bonilla, MS CCC-SLP
• Velia Alejandra Bonilla, PA-C
• Winnelle Bonilla, DDS
• Bonito Sol LLC
• Lauren Bonjour, PA
• Gabriela Kirsten Bonner
• Jasmine Bonner, DC, MS, BSES
• Jacqueline Bonnette, CCC-SLP
• Stellamaris Bonney, MSW
• Alexis Marissa Bonsell, LCSW

• All providers in Austin, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.