Christine Leigh Bonifacio, HEALTH SERVICES TECH

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Uscg HQ Comdt (CG-1122)
2100 Second St., SW.
Washington, DC 20593-0001

Phone

(202) 475-5181

Fax

(202) 475-5909

NPI assigned

Oct 25, 2006

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

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.

• Uscg Ralph Nix Medical

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Washington, DC
  • NPI 1285759712
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1851476576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USCG HQ COMDT (CG-1122)",
            "address_2": "2100 SECOND ST., SW.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "202-475-5181",
            "fax_number": "202-475-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USCG HQ COMDT (CG-1122)",
            "address_2": "2100 SECOND ST., SW.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "202-475-5181",
            "fax_number": "202-475-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIFACIO",
        "first_name": "CHRISTINE",
        "middle_name": "LEIGH",
        "credential": "HEALTH SERVICES TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Berger Bonham
• Kimberly Bonham
• Keitisha Latoya Bonhom
• Monique Bonhomme, MS, PHARMD
• Keith S Boniface, MD
• Lauren Bonifant
• Keyri L Bonilla Flores
• Sulma Bonilla Vasquez
• Joany Bonilla-Chavez
• Hector Bonilla-Cuevas

• Independent Duty Corpsman in Washington, DC
• Providers in Washington, DC by specialty
• Independent Duty Corpsman in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.