Active NPI
Bonnie Loretta Northsea, M.ED.
- Student in an Organized Health Care Education/Training Program
- Gainesville, FL
National Provider Identifier
1962641449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4117 NW 66TH Ter
Gainesville, FL 32606-4251 - Phone
- (352) 514-1772
- NPI assigned
- Feb 6, 2009
- Reactivated
- Jul 29, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4117 NW 66TH Ter
Gainesville, FL 32606-4251
Mailing address
4117 NW 66TH Ter
Gainesville, FL 32606-4251
Phone (352) 514-1772
Other practice location 1
7200 SW 8th Ave
G42
Gainesville, FL 32607-1888
Phone (352) 281-5635
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1962641449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 NW 66TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326064251",
"telephone_number": "352-514-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 NW 66TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326064251",
"telephone_number": "352-514-1772"
}
],
"practiceLocations": [
{
"address_1": "7200 SW 8th Ave",
"address_2": "G42",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326071888",
"country_code": "US",
"telephone_number": "352-281-5635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTHSEA",
"first_name": "BONNIE",
"middle_name": "LORETTA",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-06",
"last_updated": "2019-04-15",
"deactivation_date": "2012-02-23",
"reactivation_date": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.