DR. BONNIE FONS WILSON (NPI# 1912917881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912917881 |
| Entity Type | Individual |
| Full Name | DR. BONNIE FONS WILSON |
| Other Name | DR. BONNIE FONS WILSON |
| Credential | PHD |
| Practice Address |
415 W Grand River East Lansing MI 48823-4201 |
| Practice Telephone | 5173368005 |
| Practice Fax Number | 5173338777 |
| Mailing Telephone | 5173368005 |
| Mailing Fax Number | 5173338777 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301006287 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA | 5716466 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 620C34660 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437430907 | Bonnie Kay Wilson | Massage Therapist | 321 Rosemont Ct, Roswell, GA 30076-3832 | 2011-08-29 |
| 1447462593 | Bonnie Lee Wilson | Licensed Practical Nurse | 1212 Hanley Rd W, Mansfield, OH 44904 | 2007-05-03 |
| 1649720582 | Bonnie B Wilson | Licensed Practical Nurse | 1615 Canal St, Suite B, New Orleans, LA 70112-2819 | 2016-10-04 |
| 1962858480 | Bonnie C Wilson | Dietitian, Registered | 1821 Martin Luther King Pkwy, Durham, NC 27707-6336 | 2016-05-13 |
| 1639585995 | Bonnie Wilson | Dietitian, Registered | 125 Lasalle Rd, West Hartford, CT 06107-2322 | 2014-07-08 |
| 1821303611 | Bonnie Sue Wilson | Nurse Practitioner | 107 S Division St, Spokane, WA 99202-1510 | 2010-08-17 |
| 1326368697 | Bonnie Duerr Wilson | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2010-06-09 |
| 1598947210 | Bonnie S Wilson | Physical Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2007-12-04 |
| Street Address |
415 W GRAND RIVER |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275063661 | Heart Reflections, L.L.C. | Psychologist | 1151 Michigan Ave Ste 108, East Lansing, MI 48823-4078 | 2017-06-18 |
| 1023081296 | Sarita R Overton | Psychologist | 790 W Lake Lansing Rd, Suite # 500, East Lansing, MI 48823-8465 | 2006-02-08 |
| 1528685732 | Basak Amelia Khamush | Psychologist | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2020-07-03 |
| 1952927923 | Kintsugi Wellness Counseling Pllc | Psychologist | 1151 Michigan Ave Ste 108, East Lansing, MI 48823-4078 | 2020-06-24 |
| 1871093864 | Dukhae A Sung | Psychologist | 2720 E Lansing Dr, East Lansing, MI 48823-7754 | 2018-02-15 |
| 1881851913 | Hatcher & Associates, P.C. | Psychologist | 3448 E Lake Lansing Rd, East Lansing, MI 48823-1511 | 2008-05-16 |
| 1003086059 | Eileen M. Hathaway | Psychologist | 5030 Northwind Dr, Suite 108, East Lansing, MI 48823-5034 | 2008-03-06 |
| 1659427839 | Joseph Alex Jeney | Psychologist | 415 W Grand River Ave, East Lansing, MI 48823-4201 | 2007-01-28 |
| 1518941574 | Dianne Seaver Singleton | Psychologist | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-12-02 |
| 1962486928 | Christopher Paul Giuliano | Psychologist | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-12-02 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on DR. BONNIE FONS WILSON.
| 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.