Active NPI
Bonita Williams Conley, RN, PNP-BC
- Pediatric Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP108584
- Practice address
- 1935 Medical District Dr
A3.03
Dallas, TX 75235-7701 - Phone
- (214) 456-5415
- Fax
- (215) 456-8469
- NPI assigned
- Nov 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 647518 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP108584 | TX | Primary |
Addresses
Primary practice location
1935 Medical District Dr
A3.03
Dallas, TX 75235-7701
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647518 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complex Care Medical Services Corporation | Current | Accepting new patients | |
| Children'S Health System of Texas | Current | Accepting new patients | |
| Children'S Health System of Texas | Current | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients |
Locations
1935 Medical District Dr
Unit A
Dallas, TX 75235
1935 Medical District Dr
Ste EL171
Dallas, TX 75235
1935 Medical District Dr
#A303
Dallas, TX 75235
Phone (214) 456-5415
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Dallas, TX
- NPI 1194743013
-
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Community/Retail Pharmacy
- Dallas, TX
- NPI 1881830602
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
-
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1871663419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "214-456-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"address_2": "A3.03",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "214-456-5415",
"fax_number": "215-456-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "BONITA",
"middle_name": "WILLIAMS",
"name_prefix": "Mrs.",
"credential": "RN, PNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "647518",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP108584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.