LINDA M BONO (NPI# 1346452240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346452240 |
| Entity Type | Individual |
| Full Name | LINDA M BONO |
| Credential | FNP |
| Practice Address |
4480 Highway 101 Ste G Florence OR 97439-8831 |
| Mailing Address |
1292 High St Ste 224 Eugene OR 97401-3238 |
| Practice Telephone | 5416407625 |
| Mailing Telephone | 5415002500 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2401-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1529912 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201708457NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
15622 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID GROUP | 660209600 | 01 |
| FL | MEDICARE PROVIDER | E6906Y | 01 |
| FL | 304224300 | 05 | |
| FL | MEDICARE GROUP | 35207U | 01 |
| FL | CLARK CLINIC, INC | 542078370 | 01 |
| Street Address |
4480 HIGHWAY 101 STE G |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439-8831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003874199 | Mildred Helen Rowley | Family Medicine | 4480 Highway 101 Ste G, Florence, OR 97439-8831 | 2006-05-01 |
| 1740896547 | Icco LLC | Clinic/Center | 4480 Highway 101 Ste G, Florence, OR 97439-8831 | 2020-09-17 |
| 1316289192 | Eric Dyer | Physician Assistant | 4480 Highway 101 Ste G, Florence, OR 97439-8831 | 2013-03-20 |
| 1548572589 | Anita Moghe | Physician Assistant | 4480 Highway 101 Ste G, Florence, OR 97439-8831 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396331 | Kelley Rachelle Mcgarvey | Nurse Practitioner | 8174 Mall Rd, Florence, KY 41042-1414 | 2020-08-16 |
| 1538240296 | Brandy Bryant Herndon | Nurse Practitioner | 214 W. Pine St., Florence, SC 29501-4725 | 2006-10-18 |
| 1073113031 | South Carolina Dept of Mental Health Accounting Office | Nurse Practitioner | 125 E Cheves St, Florence, SC 29506-2526 | 2020-10-29 |
| 1023633831 | Cory James Gibbens | Nurse Practitioner | 1951 21st St, Florence, OR 97439-9771 | 2020-06-08 |
| 1326674391 | Summer Marie Trenkamp | Nurse Practitioner | 47 Cavalier Blvd, Florence, KY 41042-3969 | 2020-03-21 |
| 1275058117 | Leigh Ann Dunn | Nurse Practitioner | 145 E Cheves St, Florence, SC 29506-2526 | 2017-08-11 |
| 1447600580 | Wesley Jacobs Jr. | Nurse Practitioner | 555 E Cheves St, Florence, SC 29506-2617 | 2016-06-20 |
| 1578911889 | Janet M. Cooper | Nurse Practitioner | 1938 Mountain Laurel Ct, Agape Senior Primary Care, Inc., Florence, SC 29505-6084 | 2016-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1225698889 | Agewell Geriatrics, LLC | Nurse Practitioner | 13120 Sw Heather Ct, Beaverton, OR 97008-5612 | 2019-06-17 |
| 1760960462 | Sid Christian Keomanivong | Nurse Practitioner | 2677 Beall Ln, Central Point, OR 97502-1462 | 2018-08-03 |
| 1245611771 | Karen Musick | Nurse Practitioner | 3514 Nw Mckinley Dr, Corvallis, OR 97330-1148 | 2015-06-10 |
| 1184054546 | Nancy M Burgess Rn Msn Anp-c PC | Nurse Practitioner | 910 Sw Highway 97 Ste 104, Madras, OR 97741-9247 | 2013-11-22 |
| 1518391804 | Sally Elizabeth Kraynik | Nurse Practitioner | 1895 E Main St, Hillsboro, OR 97123-4345 | 2013-08-22 |
| 1295998920 | Paula Jo Cramer | Nurse Practitioner | 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 | 2008-07-02 |
| 1780855601 | Leslie West | Nurse Practitioner | 51730 Dexter St., Blue River, OR 97413-0183 | 2008-03-19 |
| 1548399322 | Corporate Health Nw | Nurse Practitioner | 10209 Se Division St, Portland, OR 97266-1327 | 2007-03-05 |
| 1962540310 | Laura Ann Shattuck | Nurse Practitioner | 21440 S Upper Highland Rd, Beavercreek, OR 97004-8814 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
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| 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.