Individual provider Active NPI

Anamaria Bonilla Blake, CPNP-PC

  • Pediatric Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1922891902
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.0039343 Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-6200
Fax
(614) 722-3111
NPI assigned
May 23, 2025
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0039343 OH
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.0039343 OH Primary

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-6200

Other practice location 2

555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-6200

Other practice location 3

5665 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-6200

Other practice location 4

1818 Chapel Dr
Findlay, OH 45840-1335
Phone (614) 722-6200

Other practice location 5

1069 Delaware Ave
Marion, OH 43302-1400
Phone (614) 722-6200

Other practice location 6

830 W High St
Lima, OH 45801-3971
Phone (614) 722-6200

Other practice location 7

11 John Lloyd Evans Memorial Dr
Nelsonville, OH 45764-2523
Phone (614) 722-6200

Other practice location 8

4439 State Route 159
Chillicothe, OH 45601-8207
Phone (614) 722-6200

Other practice location 9

7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 722-6200

Other practice location 10

26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-6200

Other practice location 11

1711 27th St
Portsmouth, OH 45662-2654
Phone (614) 722-6200

Other practice location 12

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-6200

Other practice location 13

740 Adair Ave
Zanesville, OH 43701-2838
Phone (614) 722-6200

Other practice location 14

536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-6200

Other practice location 15

1 Childrens Plz
Dayton, OH 45404-1873
Phone (614) 722-6200

Other identifiers 1

IdentifierTypeStateIssuer
0123180MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208003707 OH Practitioner - Nurse Practitioner 6507350535 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Childrens Dr
Columbus, OH 43205-2639

8055 Mayfield Rd
Chesterland, OH 44026-2447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0039343OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Mar 1, 2026 Accepting new patients
Children's Surgical Associates, Corporation Acute Care CurrentSince Mar 1, 2026 Accepting new patients
Nationwide Children's Hospital CurrentSince Mar 1, 2026 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Dec 28, 2025 Accepting new patients
Nationwide Children's Hospital Pediatrics CurrentSince Mar 1, 2026 Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

26 Hospital Dr
Athens, OH 45701
Phone (614) 722-2530

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

4439 State Route 159
Chillicothe, OH 45601
Phone (740) 779-8728

2101 Adelbert Rd
Cleveland, OH 44106
Phone (216) 844-3911

11100 Euclid Ave
Cleveland Heights, OH 44106

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Dept L289
Columbus, OH 43260

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

5665 Venture Dr
Dublin, OH 43017
Phone (614) 355-8480

1818 Chapel Dr
Findlay, OH 45840
Phone (419) 424-1055

830 W High St
Lima, OH 45801
Phone (419) 226-9694

536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150

1069 Delaware Ave
Marion, OH 43302
Phone (740) 223-3496

11 John Lloyd Evans Memorial Dr
Nelsonville, OH 45764
Phone (740) 753-4811

1711 27th St
Portsmouth, OH 45662
Phone (740) 352-1175

455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100

740 Adair Ave
Zanesville, OH 43701
Phone (614) 722-3535

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1922891902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Executive Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828870",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052654",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5665 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Chapel Dr",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458401335",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1069 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433021400",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 W High St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013971",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 John Lloyd Evans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Nelsonville",
            "state": "OH",
            "postal_code": "457642523",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4439 State Route 159",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018207",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 Pacer Dr",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157571",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012471",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 27th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456622654",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Adair Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012838",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "536 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063418",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041873",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-2549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ANAMARIA",
        "middle_name": "BONILLA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0039343",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.0039343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123180",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.