Individual provider Active NPI

Rebecca Bonser, M.S.

  • Audiologist-Hearing Aid Fitter
  • Edmonds, WA
National Provider Identifier
1891973723
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
LD00004055 Issued in WA
Practice address
21920 76TH Ave W
Ste 103
Edmonds, WA 98026-7980
Phone
(425) 744-0891
Fax
(425) 775-4449
NPI assigned
Feb 1, 2008
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X LD00004055 WA Primary

Addresses

Primary practice location

21920 76TH Ave W
Ste 103
Edmonds, WA 98026-7980

Mailing address

22525 SE 64TH PL
Ste 2030
Issaquah, WA 98027-5383
Phone (425) 358-0956

Other identifiers 2

IdentifierTypeStateIssuer
0324420OtherWAWA L&I
2035504MedicaidWA

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
Master of Science

State licenses

LicenseStateTypeSpecialty
LD00004055WAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1891973723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22525 SE 64TH PL",
            "address_2": "STE 2030",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275383",
            "telephone_number": "425-358-0956",
            "fax_number": "877-481-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21920 76TH AVE W",
            "address_2": "STE 103",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267980",
            "telephone_number": "425-744-0891",
            "fax_number": "425-775-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSER",
        "first_name": "REBECCA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00004055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0324420",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035504",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.