Active NPI
Isis Bonner
- Adult Companion
- Omaha, NE
National Provider Identifier
1992633150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 4910 S 30TH St
Omaha, NE 68107-1519 - Phone
- (402) 312-7271
- NPI assigned
- May 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NE | Primary |
Addresses
Primary practice location
4910 S 30TH St
Omaha, NE 68107-1519
Mailing address
2506 N 74TH St
Lincoln, NE 68507-2906
Phone (402) 890-4288
Other names 1
- Izzie Bonner
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778284800000",
"number": "1992633150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 N 74TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685072906",
"telephone_number": "402-890-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 S 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071519",
"telephone_number": "402-312-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "ISIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-09",
"last_updated": "2026-05-09",
"certification_date": "2026-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IZZIE",
"last_name": "BONNER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.