BONNIE SMITH (NPI# 1558869412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558869412 |
| Entity Type | Individual |
| Full Name | BONNIE SMITH |
| Other Name | BONNIE BURNETT |
| Credential | RN |
| Practice Address |
2920 Veterans Memorial Dr Mount Vernon IL 62864-5924 |
| Mailing Address |
4241 Highway 14 W Christopher IL 62822-1037 |
| Practice Telephone | 6182446544 |
| Mailing Telephone | 6187242401 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 041295257 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427484419 | Bonnie Smith | Chore Provider | 39065 Red Hill Street, Sterling, AK 99672 | 2013-09-23 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1619183233 | Bonnie Lynn Smith | Physical Therapy Assistant | 1000 S. 12 Ave., Yvcc Sherar Gymnasium, Yakima, WA 98902-2521 | 2007-05-14 |
| 1144398330 | Bonnie Jo Smith | Nurse Practitioner | 59 College Avenue, Barnhart Memorial Student Health Center West Virginia W, Buckhannon, WV 26201-2600 | 2006-12-04 |
| 1831290576 | Bonnie Smith | Speech-Language Pathologist | 4122 Library St, Port Charlotte, FL 33948-2275 | 2006-09-26 |
| 1306865084 | Bonnie Smith | Family Medicine | 115 E Walnut St, Fairbury, IL 61739-1516 | 2006-07-19 |
| 1750826921 | Bonnie Smith | Case Manager/Care Coordinator | 213 W Broadway Ave, Elk City, OK 73644-4741 | 2016-12-27 |
| 1407207574 | Bonnie Smith | Voluntary or Charitable | 3535 Quakerbridge Rd, Suite 201, Hamilton, NJ 08619-1200 | 2016-06-29 |
| 1669829776 | Bonnie Smith | Family Medicine | 2355 S Western Ave, Chicago, IL 60608-3837 | 2016-05-18 |
| 1891057238 | Bonnie S Smith | Physical Therapist | 2775 E Lansing Dr, East Lansing, MI 48823-7755 | 2012-06-12 |
| Street Address |
2920 VETERANS MEMORIAL DR |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326093493 | Sandra Tate | Nurse Practitioner | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2006-05-24 |
| 1154965218 | Stacy Withrow | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2019-11-01 |
| 1003467341 | Erica Renee Escue | Physician Assistant | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2019-09-27 |
| 1629536685 | Tiffany L Alms | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2019-03-08 |
| 1760940720 | Melissa Havrilka | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2019-03-08 |
| 1346719630 | Amanda Ratcliff | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-11-16 |
| 1548738057 | Amanda Lynn Hays | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-11-02 |
| 1184125874 | Naomi D Easley | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-02-27 |
| 1700304847 | Elesha Wilson | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2017-09-08 |
| 1750832192 | Lisa Webb | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2016-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792854 | Michael Quarshie | Registered Nurse | 27 Claremont Ave Apt 2f, Mount Vernon, NY 10550-1661 | 2020-08-28 |
| 1588277875 | Yvonne Marie Allen-morgan | Registered Nurse | 221 Claremont Ave, Mount Vernon, NY 10552-3305 | 2020-08-26 |
| 1235766320 | Imana Rn LLC | Registered Nurse | 416 N. Fulton Avenue, Suite 4000, Mount Vernon, NY 10552-2214 | 2020-03-26 |
| 1982249611 | Patricia Parchment-falconer | Registered Nurse | 630 Gramatan Ave Apt 3b, Mount Vernon, NY 10552-1824 | 2019-11-18 |
| 1962965731 | Erin Nia Moberg | Registered Nurse | 2301 N Trumpeter Dr, Mount Vernon, WA 98273-8969 | 2019-04-09 |
| 1316403199 | Alexandrine Sampson | Registered Nurse | 218 N 6th Ave, Mount Vernon, NY 10550-1120 | 2019-02-16 |
| 1578028338 | Pauline Miller | Registered Nurse | 10 Dell Ave Ste 206, Mount Vernon, NY 10553-1062 | 2019-02-06 |
| 1982173324 | Laura Hill | Registered Nurse | 141 N Macquesten Pkwy, Mount Vernon, NY 10550-1812 | 2018-11-15 |
| 1619445046 | Henrietta Osei | Registered Nurse | 436 S 6th Ave, Mount Vernon, NY 10550-4420 | 2018-11-03 |
| 1700362605 | Karon Morris-simpson | Registered Nurse | 137 Lorraine Ave, Mount Vernon, NY 10553-1205 | 2018-07-13 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.