Individual provider Active NPI

Holly Roy Bonynge, ARNP

  • Pediatric Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1851937395
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP1105061 Issued in FL
Practice address
2650 NW 2ND St # 100
Ocala, FL 34475-6234
Phone
(352) 237-5400
NPI assigned
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ARNP1105061FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Health Alliance PA CurrentSince Jan 22, 2023 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.

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.

Verify at the official NPI Registry.