MRS. HEIDI CRYSTAL BONFIGLI (NPI# 1245698372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245698372 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI CRYSTAL BONFIGLI |
| Credential | M.S. |
| Practice Address |
1360 N Dutton Ave Santa Rosa CA 95401-4687 |
| Mailing Address |
655 Donald St Sonoma CA 95476-4656 |
| Practice Telephone | 4155189799 |
| Mailing Telephone | 4152464961 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1360 N DUTTON AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659432110 | Diana Lynn Klein | Marriage & Family Therapist | 1360 N Dutton Ave, Ste C, Santa Rosa, CA 95401-4687 | 2006-12-12 |
| 1982168605 | Clare Knauss | Counselor | 1360 N Dutton Ave, Santa Rosa, CA 95401-4687 | 2019-01-27 |
| 1831686245 | Angelina Maria Gutierrez | Counselor | 1360 N Dutton Ave, Santa Rosa, CA 95401-4687 | 2018-04-20 |
| 1619325651 | Cassandra Rohr | Counselor | 1360 N Dutton Ave, Suite 100, Santa Rosa, CA 95401-4687 | 2016-06-01 |
| 1518388081 | Laura Tucker | Counselor | 1360 N Dutton Ave, Santa Rosa, CA 95401-4687 | 2013-12-30 |
| 1881020170 | Denisse Patricia Mendoza | Marriage & Family Therapist | 1360 N Dutton Ave, Santa Rosa, CA 95401-4687 | 2013-09-19 |
| 1699026765 | Amanda Marie Mastrup | Marriage & Family Therapist | 1360 N Dutton Ave, Ste. 100, Santa Rosa, CA 95401-4687 | 2012-09-28 |
| 1174816656 | Sydney Griffin | Case Manager/Care Coordinator | 1360 N Dutton Ave, Suite C, Santa Rosa, CA 95401-4687 | 2011-05-17 |
| 1033447057 | Shannon Noel Gravier | Marriage & Family Therapist | 1360 N Dutton Ave, Suite 100, Santa Rosa, CA 95401-4687 | 2009-12-02 |
| 1558567719 | Lisa Beytia | Marriage & Family Therapist | 1360 N Dutton Ave, Santa Rosa, CA 95401-4687 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758931 | Allison Noesekabel | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Rm 1201, Santa Rosa, CA 95403-2149 | 2020-04-03 |
| 1467083733 | Jessica Hetherington | Student in an Organized Health Care Education/Training Program | 2255 Challenger Way Ste 107, Santa Rosa, CA 95407-5423 | 2020-01-27 |
| 1184282121 | Isabella Maile Beal | Student in an Organized Health Care Education/Training Program | 2275 Warwick Dr, Santa Rosa, CA 95405-8677 | 2019-06-04 |
| 1366904963 | Nathaniel Parker | Student in an Organized Health Care Education/Training Program | 1002 Jennings Ave Apt 207, Santa Rosa, CA 95401-4347 | 2019-04-02 |
| 1265991509 | Ishika Arora | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way # 110, Santa Rosa, CA 95403-2149 | 2019-03-17 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1881198745 | Elia R. Cole | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Ste 110, Santa Rosa, CA 95403-2149 | 2018-03-23 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1073049623 | Shyam Sunder Indrakanti | Student in an Organized Health Care Education/Training Program | 2824 Elk Ln, Santa Rosa, CA 95407-5029 | 2017-05-02 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on MRS. HEIDI CRYSTAL BONFIGLI.
| 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.