Amy Bonanno

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

ARNP9271325 Issued in FL

Practice address

8595 College Pkwy
Suite 250
Fort Myers, FL 33919-5191

Phone

(239) 481-9999

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Planned Parenthood of Southwest and Central Florida Inc

  • Ambulatory Family Planning Facility
  • Sarasota, FL
  • NPI 1023221546
  NPD (past)
• Planned Parenthood of Southwest and Central Florida Inc.

  • Gynecology Physician
  • Fort Myers, FL
  • NPI 1033482724
  NPD (past)

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1902236698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 SW 8TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 COLLEGE PKWY",
            "address_2": "SUITE 250",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195191",
            "telephone_number": "239-481-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANNO",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9271325",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704393964",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9271325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne Bolivar
• Taryn L Bolling, D. O
• Hooshang Michael Bolooki, MD
• Leah Danielle Bombassaro, PT, DPT
• Hilary Ford Bommarito, MD
• Lara Beth Bond
• Wendy Robinson Bond, M.D.
• Bonett Medical Center Corp
• Bonett Rehab Center Inc
• Brett Matthew Bonham

• Primary Care Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.