Active NPI
Taylor Bonacolta
- Specialist
- Lehigh Acres, FL
National Provider Identifier
1922939545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 348684
- Practice address
- 18331 Pine Nut CT
Lehigh Acres, FL 33972-7507 - Phone
- (239) 600-2816
- NPI assigned
- May 25, 2026
- Last updated
- May 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 348684 | FL | Primary |
Addresses
Primary practice location
18331 Pine Nut CT
Lehigh Acres, FL 33972-7507
Mailing address
18331 Pine Nut CT
Lehigh Acres, FL 33972-7507
Other names 1
- Taylor Grace
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348684 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1922939545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18331 PINE NUT CT",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339727507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18331 PINE NUT CT",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339727507",
"telephone_number": "239-600-2816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONACOLTA",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-25",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "348684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "GRACE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.