Individual provider Active NPI

Heather Lynn Bonshock, FNP-C

  • Family Nurse Practitioner
  • MC Lean, VA
National Provider Identifier
1992997027
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165818 Issued in VA
Practice address
8200 Jones Branch Dr
Wellness Center RM.1317 Ms111
MC Lean, VA 22102-3107
Phone
(703) 903-2844
Fax
(703) 903-2803
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024165818 VA Primary

Addresses

Primary practice location

8200 Jones Branch Dr
Wellness Center RM.1317 Ms111
MC Lean, VA 22102-3107

Mailing address

3196 Kinbrace Rd
Oak Hill, VA 20171-3308
Phone (703) 961-0306

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024165818VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1992997027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KINBRACE RD",
            "city": "OAK HILL",
            "state": "VA",
            "postal_code": "201713308",
            "telephone_number": "703-961-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 JONES BRANCH DR",
            "address_2": "WELLNESS CENTER RM.1317 MS111",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023107",
            "telephone_number": "703-903-2844",
            "fax_number": "703-903-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSHOCK",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.