Active NPI
Holly Roy Bonynge, ARNP
- Pediatric Nurse Practitioner
- Ocala, FL
National Provider Identifier
1851937395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP1105061
- Practice address
- 2650 NW 2ND St # 100
Ocala, FL 34475-6234 - Phone
- (352) 237-5400
- NPI assigned
- Nov 19, 2019
- Last updated
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP1105061 | FL | Primary |
Addresses
Primary practice location
2650 NW 2ND St # 100
Ocala, FL 34475-6234
Mailing address
5353 County Road 125
Wildwood, FL 34785-7973
Phone (352) 551-0030
Other practice location 1
300 S Canal St
Leesburg, FL 34748-5904
Phone (352) 323-8303
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1105061 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Health Alliance PA | Current | Accepting new patients |
Locations
2650 NW 2nd St
#100
Ocala, FL 34475
Phone (352) 237-5400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Ocala, FL
- NPI 1467619676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1851937395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 COUNTY ROAD 125",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347857973",
"telephone_number": "352-551-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 NW 2ND ST # 100",
"city": "OCALA",
"state": "FL",
"postal_code": "344756234",
"telephone_number": "352-237-5400"
}
],
"practiceLocations": [
{
"address_1": "300 S Canal St",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347485904",
"country_code": "US",
"telephone_number": "352-323-8303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONYNGE",
"first_name": "HOLLY",
"middle_name": "ROY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP1105061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.