KELLY M BONNETT


Address: 117 N Chalkville Rd, Trussville, AL 35173
Phone: 2058482273

KELLY M BONNETT (NPI# 1467931949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467931949
Entity Type Individual
Full Name KELLY M BONNETT
Credential CRNP
Practice Address 117 N Chalkville Rd
Trussville
AL 35173
Mailing Address 6535 11th Ct
Tuscaloosa
AL 35405-5534
Practice Telephone 2058482273
Mailing Telephone 2057999140
Enumeration Date 2018-08-07
Last Update Date 2019-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
1-138625 AL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1060 Fairfax Park Ste C, Tuscaloosa, AL 354062837 2057527337 2057528013

Office Location

Street Address 117 N CHALKVILLE RD
City TRUSSVILLE
State AL
Zip Code 35173

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437634060 Abraham Francisco Registered Nurse 117 N Chalkville Rd, Trussville, AL 35173-1376 2018-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982189262 Walden Brook Schlundt-capps Nurse Practitioner 4913 Dearfoot Parkway, Trussville, AL 35173 2018-10-02
1770064321 Joyce Yerman Coyle Pharmacist 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 2018-08-22
1770028821 Angelle Sieg Taylor Counselor 3504 Vann Road Suite 100, Trussville, AL 35173 2016-12-28
1467722694 Laura Sherrill Barksdale Nurse Anesthetist, Certified Registered 300 Bradford Cir, Trussville, AL 35173 2012-01-04
1245551878 Scott C Boyken Family Medicine 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 2010-06-17
1740503234 Lauren C Sineath Nutritionist 5257 Stockton Pass, Trussville, AL 35173 2010-03-11
1386861128 Michael Lawrence Ryan Specialist/Technologist 2053 Enclave Drive, Trussville, AL 35173 2007-04-20
1346372794 Brett Stanley Bruce Dentist 6995 Gadsden Hwy, Trussville, AL 35173 2007-03-12
1528100682 Michael J Sabatini Pharmacist 6404 Whitetail Lane, Birmingham, AL 35173 2007-02-13
1750449542 Samuel D. Pierce, O.d., P.C. Optometrist 133 N. Chalkville Rd, Trussville, AL 35173 2006-12-05
Find all providers in zip 35173

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760968580 Gladys Cooks Nurse Practitioner 8517 Highlands Trce, Trussville, AL 35173-3815 2018-07-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225636038 Samantha Thompson Nurse Practitioner 1600 7th Ave S Fl 2, Birmingham, AL 35233-1711 2020-10-14
1831722289 Tiffany Garrett Nurse Practitioner 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 2020-02-13
1033776612 Erin Tracy Swing Nurse Practitioner 1600 7th Ave S Fl Apass2, Birmingham, AL 35233-1711 2019-05-20
1629531181 Holley Lewis Collins Nurse Practitioner 1601 Center St Ste 1a, Mobile, AL 36604-1541 2019-04-11
1023591245 Katherine Leigh Cassidy Nurse Practitioner 2001 Fieldstown Rd, Gardendale, AL 35071-4628 2018-09-13
1588145544 Allison Mcdill Williams Nurse Practitioner 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 2018-08-27
1740769801 Amy Leigh Jenkins Nurse Practitioner 1600 7th Ave S Bldg Suit5604, Birmingham, AL 35233-1711 2018-08-09
1184102931 Molly Dixon Bolton Nurse Practitioner 1600 7th Ave S Bldg Suite620, Birmingham, AL 35233-1711 2018-08-03
1972091049 Carrie Tubbs Nurse Practitioner 645 Mcqueen Smith Rd N Ste 301, Prattville, AL 36066-7269 2018-04-24
1164927521 Danielle Madison Williams Nurse Practitioner 32 Tacon St Ste A, Mobile, AL 36607-3138 2018-03-28
Find all providers with the same taxonomy

Competitor

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City TRUSSVILLE
Zip Code 35173

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Dataset Information

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.

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