Active NPI
Nancy H Bonner, LSCSW
- Clinical Social Worker
- Lawrence, KS
National Provider Identifier
1861463853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1471
- 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, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097940A | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1471 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Med PA | Past | Accepting new patients | |
| First Med PA | Past | 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.
-
- Emergency Care Clinic/Center
- Lawrence, KS
- NPI 1033245410
-
- Family Medicine Physician
- Lawrence, KS
- NPI 1356300180
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.