Individual provider Active NPI

Noelle Lynn Bonjour, LMT

  • Massage Therapist
  • Sioux Falls, SD
National Provider Identifier
1902447345
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT10923 Issued in SD
Practice address
6809 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2570
Phone
(605) 553-1535
NPI assigned
Oct 7, 2019
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT10923 SD Primary

Addresses

Primary practice location

6809 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2570

Mailing address

5809 S Remington PL Ste 104
Sioux Falls, SD 57108-5138
Phone (605) 553-1535

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT10923SDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1902447345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 S REMINGTON PL STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085138",
            "telephone_number": "605-553-1535",
            "fax_number": "605-338-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 S MINNESOTA AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082570",
            "telephone_number": "605-553-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONJOUR",
        "first_name": "NOELLE",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT10923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.