DR. MARY LYNN BONNETTE (NPI# 1679622146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679622146 |
| Entity Type | Individual |
| Full Name | DR. MARY LYNN BONNETTE |
| Credential | PHD, MSN, RN |
| Practice Address |
2780 Cleveland Ave 810 Fort Myers FL 33901-5858 |
| Mailing Address |
1920 Virginia Ave 401 Fort Myers FL 33901-3352 |
| Practice Telephone | 2393374332 |
| Practice Fax Number | 2393343327 |
| Mailing Telephone | 2393342677 |
| Mailing Fax Number | 2393343327 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN 1088062 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891828992 | Mary L. Bonnette | Occupational Therapist | 4500 Bissonnet St, Suite 340, Bellaire, TX 77401-3120 | 2007-03-14 |
| Street Address |
2780 CLEVELAND AVE 810 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-5858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093902 | Sarah Jean Von Frantzius | Nurse Practitioner | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2020-04-28 |
| 1639799448 | Johny Williamceau | Registered Nurse | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2020-04-22 |
| 1568091197 | Shane Thomas Geffe | Student in an Organized Health Care Education/Training Program | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2020-04-06 |
| 1740846195 | Nadege Sanon | Registered Nurse | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2019-05-10 |
| 1336645597 | John Schmidt | Family Medicine | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2018-04-04 |
| 1700312709 | Christine Clare Norton | Student in an Organized Health Care Education/Training Program | 2780 Cleveland Ave, Suite 709, Fort Myers, FL 33901-5858 | 2017-05-11 |
| 1073045308 | Alice Eileen Shallcross | Family Medicine | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2017-03-27 |
| 1386006716 | Charles Robin Fleischer | Family Medicine | 2780 Cleveland Ave, Suite # 709, Fort Myers, FL 33901-5858 | 2016-03-24 |
| 1295114171 | Tyler Jacob Hendricks | Family Medicine | 2780 Cleveland Ave, Suite 709, Fort Myers, FL 33901-5858 | 2015-05-25 |
| 1952780934 | Shane Michael Drahos | Family Medicine | 2780 Cleveland Ave, Suite 709, Fort Myers, FL 33901-5858 | 2015-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740511815 | Michelle Dan El Carr | Clinical Nurse Specialist | 902 Marlene Dr, Ocoee, FL 34761-3228 | 2010-01-28 |
| 1639403173 | Ida Lou Mercer | Clinical Nurse Specialist | 4024 Central Ave., St. Petersburg, FL 33733-0970 | 2009-10-01 |
| 1881866937 | Katherine Ntekim | Clinical Nurse Specialist | 8250 Sw 40th St, Suite C, Miami, FL 33155-3335 | 2008-03-28 |
| 1336329002 | Building New Horizons, Inc. | Clinical Nurse Specialist | 2843 Alt 19, Palm Harbor, FL 34683-1926 | 2007-11-09 |
| 1811050909 | Judith Ann Walters | Clinical Nurse Specialist | 9990 Coconut Rd, Estero, FL 34135-8488 | 2006-12-19 |
| 1477657831 | Rebecca Dunn | Clinical Nurse Specialist | 2015 N Central Ave, Tampa, FL 33602 | 2006-09-07 |
| 1891332425 | Michelle Dan El Carr Inc | Clinical Nurse Specialist | 902 Marlene Dr, Ocoee, FL 34761-3228 | 2019-12-02 |
| 1265716401 | Emma Wood | Clinical Nurse Specialist | 100 N Main St, Chattahoochee, FL 32324-1107 | 2011-10-06 |
| 1740595271 | Pam Rillstone, Phd, Cns, Bc, Ct, Pllc | Clinical Nurse Specialist | 6817 Southpoint Pkwy, Ste 304, Jacksonville, FL 32216-6282 | 2010-08-09 |
| 1851557748 | Elizabeth Simoes | Clinical Nurse Specialist | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2008-07-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on DR. MARY LYNN BONNETTE.
| 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.