Individual provider Active NPI

Elizabeth Bonilla, AUD

  • Audiologist
  • Greensboro, NC
National Provider Identifier
1932833936
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30000697 Issued in NC
Practice address
3824 N Elm St Ste 201
Greensboro, NC 27455-2733
Phone
(336) 542-2015
Fax
(336) 542-2017
NPI assigned
Jul 14, 2022
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30000697 NC Primary

Addresses

Primary practice location

3824 N Elm St Ste 201
Greensboro, NC 27455-2733

Mailing address

3824 N Elm St Ste 201
Greensboro, NC 27455-2733
Phone (336) 542-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517000327 NC Practitioner - Qualified Audiologist 0143686105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Hearing and Audiology Service, PCGroup PAC ID 3971637497, 6 clinicians

Practice addresses (Care Compare)

529 College Rd B
Greensboro, NC 27410-5164
Phone (336) 294-9617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Su Wooi Teoh MD PA CurrentSince Mar 14, 2023 Accepting new patients
Aim Hearing and Audiology Service, PC Audiologist CurrentSince Sep 9, 2024 Accepting new patients

Locations

3824 N Elm St
Ste 201
Greensboro, NC 27455
Phone (336) 542-2015

529 College Rd
Ste B
Greensboro, NC 27410
Phone (336) 294-9617

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1932833936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 N ELM ST STE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552733",
            "telephone_number": "336-542-2015",
            "fax_number": "336-542-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 N ELM ST STE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552733",
            "telephone_number": "336-542-2015",
            "fax_number": "336-542-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "ELIZABETH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "30000697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.