Bonnie G Kraft, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R 00046197 Issued in OK

Practice address

RR 1 Box 34a
Watonga, OK 73772-9706

Phone

(580) 623-4991

Fax

(580) 623-5490

NPI assigned

May 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Usphs Indian Health Service

  • Clinic/Center
  • Watonga, OK
  • NPI 1518224260
  NPD (past)
• Watonga Indian Health Center

  • Public Health or Welfare Agency
  • Watonga, OK
  • NPI 1558458794
  NPD (past)

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1942593728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 34A",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737729706",
            "telephone_number": "580-623-4991",
            "fax_number": "580-623-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 34A",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737729706",
            "telephone_number": "580-623-4991",
            "fax_number": "580-623-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "BONNIE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OK",
            "license": "R 00046197",
            "primary": true
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "OK",
            "license": "R0046197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231960G",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Marie Heddlesten, M.ED, LADC, CM-D
• Docia Dee Johnson
• Gregory Earl Johnson
• Jaycif A Justice
• Stephanie Rose King
• Susan Lee, O.D.
• Traci Livingston
• Jennifer Dawn Lorenz, B.S.W
• Jennifer C Macaulay, B.S.
• Renee Madden

• Community Health Registered Nurse in Watonga, OK
• Providers in Watonga, OK by specialty
• Community Health Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.