Individual provider Active NPI

Karen Kay Bondura, RN

  • Case Management Registered Nurse
  • Pottsville, PA
National Provider Identifier
1912465113
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN233553L Issued in PA
Practice address
1410 Laurel Blvd Ste 2
Pottsville, PA 17901-1415
Phone
(570) 628-5374
Fax
(570) 628-4809
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
Yes

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
RN233553LPAMDCase Management Registered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN233553L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1410 Laurel Blvd Ste 2
Pottsville, PA 17901-1415

Mailing address

1410 Laurel Blvd Ste 2
Pottsville, PA 17901-1415
Phone (570) 628-5374

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2019.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1912465113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LAUREL BLVD STE 2",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011415",
            "telephone_number": "570-628-5374",
            "fax_number": "570-628-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LAUREL BLVD STE 2",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011415",
            "telephone_number": "570-628-5374",
            "fax_number": "570-628-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDURA",
        "first_name": "KAREN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "PA",
            "license": "RN233553L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.