Amber Dawn Bontke, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1127037 Issued in TX

Practice address

251 W Southlake Blvd Ste 4
Southlake, TX 76092-7043

Phone

(682) 407-3958

NPI assigned

Jul 4, 2023

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

State licenses

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1851078588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W SOUTHLAKE BLVD STE 4",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W SOUTHLAKE BLVD STE 4",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927043",
            "telephone_number": "682-407-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTKE",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1127037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Deanne Bolle, M.S., LPC
• Analyssia Bolton
• Grant Alexander Bond, M.D.
• Lauren Bone
• Joseph A Bonola, DDS
• Abriyannah Booker
• Kara (Rae) Rae Boswell, MS, RD, LD
• Kelli Bouck, BCBA
• Boulevard Diagnostic Management Group, LLC
• Boulevard Diagnostic MGMT Group

• Family Nurse Practitioner in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.