Individual provider Active NPI

Bonita Knuckles

  • School Registered Nurse
  • Fairfield, CA
National Provider Identifier
1932731916
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
541664 Issued in CA
Practice address
1922 Moosup CT
Fairfield, CA 94533-6648
Phone
(707) 971-5024
NPI assigned
Feb 7, 2020
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 541664 CA Primary
Doula 374J00000X

Addresses

Primary practice location

1922 Moosup CT
Fairfield, CA 94533-6648

Mailing address

1922 Moosup CT
Fairfield, CA 94533-6648
Phone (707) 971-5024

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

LicenseStateTypeSpecialty
541664CAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beaunity Doula Current Accepting new patients

Organizations & group practices 1

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": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1932731916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 MOOSUP CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336648",
            "telephone_number": "707-971-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 MOOSUP CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336648",
            "telephone_number": "707-971-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUCKLES",
        "first_name": "BONITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "541664",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

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