Philippe Bonneau, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA00322 Issued in NM

Practice address

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone

(505) 820-5554

Fax

(505) 820-5440

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Anesthesia Services of Albuquerque

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1427490424
  NPD (past)
• Anesthesia Specialists of Albuquerque

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1831104215
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1922018787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "CARLA GOMEZ, CREDENTIALING COORDINTOR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-820-5554",
            "fax_number": "505-820-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEAU",
        "first_name": "PHILIPPE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA00322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94433",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Bolen, L.M.F.T.
• Tanja Bolle, LM,CPM
• Cecily M Bolte, PHARMD
• Alona Bonanno, L.M.T.
• Alma Ivette Bonilla
• Nancy L Bono, RPH
• Comfort Bonu, MD
• Stephanie Lynne Bonzek, APRN, FNP-BC
• Michelle M Born, BMS
• Tina Bornscheuer, PMHNP, FNP

• Certified Registered Nurse Anesthetist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.