Bonnie Anderson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

123592 Issued in AR

Practice address

2710 College Ave
Conway, AR 72034-6141

Phone

(501) 329-1800

Fax

(501) 329-2507

NPI assigned

Aug 12, 2020

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arkansas Pediatrics of Conway, PA

  • Pediatrics Physician
  • Conway, AR
  • NPI 1477516417
  NPD (past)
• Conway Regional Medical Center Inc

  dba Conway Medical Group

  • Family Medicine Physician
  • Conway, AR
  • NPI 1841200417
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1942811047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720331210",
            "telephone_number": "501-329-1800",
            "fax_number": "501-329-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346141",
            "telephone_number": "501-329-1800",
            "fax_number": "501-329-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BONNIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenora Ames, RN
• An Angels Touch Bodyworks, LLC (An Angels Touch Bodyworks)
• An Embraced Life LLC (An Embraced Life)
• Anchor Medical, Inc.
• Annette N. Anderson, MD
• David E. Anderson, MD
• Marc Anderson
• Harley Andrews
• Jordana R Andrews
• Terrell Lamar Andrews Jr.

• Family Nurse Practitioner in Conway, AR
• Providers in Conway, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.