Individual provider Active NPI

Nancy H Bonner, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1861463853
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1471 Issued in KS
Practice address
2323 Ridge CT
Lawrence, KS 66046-3956
Phone
(785) 865-5300
Fax
(785) 865-1399
NPI assigned
Jan 30, 2006
Last updated
Dec 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1471 KS Primary

Addresses

Primary practice location

2323 Ridge CT
Lawrence, KS 66046-3956

Mailing address

902 W 27TH Ter
Lawrence, KS 66046-4618
Phone (785) 312-7273

Other identifiers 1

IdentifierTypeStateIssuer
100097940AMedicaidKS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1471KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Med PA Past Accepting new patients
First Med PA PastSince Jan 1, 1996 Accepting new patients

Organizations & group practices 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1861463853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W 27TH TER",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464618",
            "telephone_number": "785-312-7273",
            "fax_number": "785-865-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 RIDGE CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660463956",
            "telephone_number": "785-865-5300",
            "fax_number": "785-865-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "NANCY",
        "middle_name": "H",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.