Individual provider Active NPI

Bonne Jane Dunham, L.M. , RN, IBCLC

  • Midwife
  • Montpelier, VT
National Provider Identifier
1851447171
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
107-0000035 Issued in VT
Practice address
91 College St
Montpelier, VT 05602-3110
Phone
(802) 498-4247
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 107-0000035 VT Primary
Lactation Consultant (Registered Nurse) 163WL0100X L-110598 VT

Addresses

Primary practice location

91 College St
Montpelier, VT 05602-3110

Mailing address

91 College St
Montpelier, VT 05602-3110
Phone (802) 498-4247

Other identifiers 1

IdentifierTypeStateIssuer
1012847MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-110598VTMDLactation Consultant (Registered Nurse)
107-0000035VTMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1851447171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 COLLEGE ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023110",
            "telephone_number": "802-498-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 COLLEGE ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023110",
            "telephone_number": "802-498-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "BONNE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "L.M. , RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VT",
            "license": "107-0000035",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VT",
            "license": "L-110598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012847",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.