BONNIE BOYETTE-PETERSON (NPI# 1194874669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194874669 |
Entity Type | Individual |
Full Name | BONNIE BOYETTE-PETERSON |
Credential | APRN-C |
Practice Address |
4747 Us Highway 19 New Port Richey FL 34652-4945 |
Mailing Address |
4440 Fruitville Rd Sarasota FL 34232-1926 |
Practice Telephone | 7273122040 |
Practice Fax Number | 8888069655 |
Mailing Telephone | 9413660134 |
Mailing Fax Number | 9414041760 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-06-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP 1095542 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE | LT773 | 01 |
FL | 301875000 | 05 |
Street Address |
4747 US HIGHWAY 19 |
City | NEW PORT RICHEY |
State | FL |
Zip Code | 34652-4945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942664685 | Thomas Allen Walsh | Internal Medicine | 4747 Us Highway 19, New Port Richey, FL 34652-4945 | 2016-04-08 |
1639461726 | Patricia Bass Evans | Nurse Practitioner | 4747 Us Highway 19, New Port Richey, FL 34652-4945 | 2011-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
Find all providers in zip 34652 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891241345 | Angela Michelle Winn | Nurse Practitioner | 8350 Little Rd Ste 105, New Port Richey, FL 34654 | 2016-08-25 |
1134598691 | M Strange Apn LLC | Nurse Practitioner | 6231 Garland Ct, New Port Richey, FL 34652-2011 | 2015-09-15 |
1174869507 | Eleanor Marie Hofer | Nurse Practitioner | 5334 Aspen St, New Port Richey, FL 34652-4001 | 2012-12-12 |
1356990238 | Rosario A Pena Almeyda | Nurse Practitioner | 5307 Main St, New Port Richey, FL 34652-2536 | 2019-09-04 |
1538665310 | Jennifer Danielle Quinn | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653 | 2018-04-02 |
1710434550 | Thu Tam Thu Le | Nurse Practitioner | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2016-09-09 |
1457710287 | Melissa G Cole | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2016-02-22 |
1831554484 | Lisa M Hiestand | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2015-12-28 |
1376935692 | Rhiannon M Fahey | Nurse Practitioner | 8763 River Crossing Blvd, New Port Richey, FL 34655-1112 | 2015-02-24 |
1174932743 | Darryl B Bain | Nurse Practitioner | 6633 Forest Ave, Suite 300, New Port Richey, FL 34653-2612 | 2014-08-08 |
Find all providers in NEW PORT RICHEY |
City | NEW PORT RICHEY |
Zip Code | 34652 |
Please comment or provide details below to improve the information on BONNIE BOYETTE-PETERSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.