Individual provider Active NPI

Ayesha Michelle Bonora, RN, CCM

  • Adult Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1922938489
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
624781 Issued in TX
Practice address
22601 N 19TH Ave Ste 131
Phoenix, AZ 85027-1325
Phone
(866) 762-4455
NPI assigned
May 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 624781 TX Primary

Addresses

Primary practice location

22601 N 19TH Ave Ste 131
Phoenix, AZ 85027-1325

Mailing address

206 Rowland Dr
Whitewright, TX 75491-6003

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
624781TXMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1922938489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ROWLAND DR",
            "city": "WHITEWRIGHT",
            "state": "TX",
            "postal_code": "754916003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 N 19TH AVE STE 131",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271325",
            "telephone_number": "866-762-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONORA",
        "first_name": "AYESHA",
        "middle_name": "MICHELLE",
        "credential": "RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "624781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.