Individual provider Active NPI

Rhonda Bonilla, N.P.

  • Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1891704144
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61049578 Issued in WA
Practice address
8503 W Clearwater Ave Ste C
Kennewick, WA 99336-3100
Phone
(509) 579-0089
Fax
(509) 378-5436
NPI assigned
Aug 5, 2006
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61049578 WA Primary
Nurse Practitioner 363L00000X NP13560 CA

Addresses

Primary practice location

8503 W Clearwater Ave Ste C
Kennewick, WA 99336-3100

Mailing address

8503 W Clearwater Ave Ste C
Kennewick, WA 99336-3100
Phone (509) 579-0089

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP13560CAMDNurse Practitioner
AP61049578WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visalia Rehabilitative Medicine, Inc Past Accepting new patients

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1891704144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 W CLEARWATER AVE STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363100",
            "telephone_number": "509-579-0089",
            "fax_number": "509-378-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 W CLEARWATER AVE STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363100",
            "telephone_number": "509-579-0089",
            "fax_number": "509-378-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "RHONDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61049578",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP13560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.