Individual provider Active NPI

Melissa Slovek-Bonghi, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Bainbridge Island, WA
National Provider Identifier
1912117409
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
RN60574134 Issued in WA
Practice address
897 Taurnic PL NW
Bainbridge Island, WA 98110-2760
Phone
(206) 790-9488
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 105-22013 WA
Lactation Consultant (Registered Nurse) 163WL0100X RN60574134 WA Primary

Addresses

Primary practice location

897 Taurnic PL NW
Bainbridge Island, WA 98110-2760

Mailing address

897 Taurnic PL NW
Bainbridge Island, WA 98110-2760
Phone (206) 790-9488

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60574134WAMDLactation Consultant (Registered Nurse)
105-22013WAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1912117409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 TAURNIC PL NW",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102760",
            "telephone_number": "206-790-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 TAURNIC PL NW",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102760",
            "telephone_number": "206-790-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVEK-BONGHI",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "WA",
            "license": "105-22013",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WA",
            "license": "RN60574134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.