Bonita B Smith, N.P.-C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F0510070 Issued in AZ

Practice address

6859 E Rembrandt Ave
Suite 117
Mesa, AZ 85212-3628

Phone

(480) 632-1577

Fax

(480) 632-1574

NPI assigned

Oct 27, 2010

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1851691612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE",
            "address_2": "SUITE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123628",
            "telephone_number": "480-632-1577",
            "fax_number": "480-632-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE",
            "address_2": "SUITE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123628",
            "telephone_number": "480-632-1577",
            "fax_number": "480-632-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BONITA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "F0510070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Marie Smith, PHARMD
• Alison Jean Smith, M.D.
• Anna Maria Smith, MC, LPC, LISAC
• Belinda E Smith, CNM
• Betty C Smith, CRNFA
• Brenda Rae Smith, COTA/L
• Brenden Smith, PA
• Brittney Smith, M.S. CCC-SLP
• Chaz Smith
• Cheryl A. Smith, M.S., L.P.C.

• Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.