MRS. DEAXTRA BONHAM (NPI# 1487100566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487100566 |
| Entity Type | Individual |
| Full Name | MRS. DEAXTRA BONHAM |
| Other Name | DEAXTRA HUNT |
| Credential | WHNP |
| Practice Address |
4714 Marshall Ave Newport News VA 23607 |
| Mailing Address |
712 Laura St Chesapeake VA 23320-6426 |
| Practice Telephone | 7573808709 |
| Mailing Telephone | 2517441011 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
5009520 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024173381 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15425 Warwick Blvd Ste H, Newport News, VA 236081579 | 7578748400 | |
| 4714 Marshall Ave, Newport News, VA 23607 | 7573808709 |
| Street Address |
4714 MARSHALL AVE |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289822 | Aurora S Badavi | Pediatrics | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-10 |
| 1477919751 | Tina Sary | Registered Nurse | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2016-01-03 |
| 1871960971 | Jessica Danielle Tabb | Psychiatry & Neurology | 4714 Marshall Ave, Newport News, VA 23607-2326 | 2015-08-25 |
| 1437544889 | Nicole J Finley | Nurse Practitioner | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2015-04-02 |
| 1952716417 | Felicia Moody Jones | Nurse Practitioner | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2014-06-24 |
| 1699926527 | Nilda R. Ante | Obstetrics & Gynecology | 4714 Marshall Ave, Dept of Obgyn, Newport News, VA 23607-2247 | 2008-10-09 |
| 1710140991 | Michael Lewis | Obstetrics & Gynecology | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2008-07-08 |
| 1508846148 | David L Lorenzo | Internal Medicine | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-19 |
| 1376522458 | Jesse A Hobbs | Dentist | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-17 |
| 1851370951 | Michael I Parson | Family Medicine | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649766296 | Mahmud Kandeel | Ambulance | 4710 Marshall Ave, Newport News, VA 23607 | 2018-07-06 |
| 1285133868 | Astrid Home Care Services, LLC | Home Health | 1024 34th St, Newport News, VA 23607 | 2018-02-08 |
| 1891293551 | Gcartransportation L.l.c | Taxi | 4214 Jeffeson Ave, Newport News, VA 23607 | 2018-01-29 |
| 1992235501 | Antuane Dewayne Lomax | Taxi | 1310 39th Street, Newport News, VA 23607 | 2017-06-15 |
| 1598205957 | Hasssan Elmi Ali | Taxi | 4214 Jefferson Ave, Newport New, VA 23607 | 2017-03-06 |
| 1790221802 | Ta Mara's Promise, LLC | Counselor | 2601 West Ave, Ste: 201, Newport, VA 23607 | 2017-01-12 |
| 1437478906 | Constance None Griffin | Contractor | 2905 Chestnut Avenue, Newport News, VA 23607 | 2010-05-24 |
| 1093048076 | Shelley Ann Brown | Technician | 634 44th Street, Newport, VA 23607 | 2009-09-09 |
| 1689808792 | Melissa Ellen Nazareth | Dentist | 2704 Chestnut Avenue, Newport News, VA 23607 | 2009-05-05 |
| 1740422237 | David Raymond Ditman | Military Health Care Provider | Uss California (ssn 781), Supervisor of Shipbuilding, Conversion& Repair, Usn, Newport News, VA 23607 | 2009-03-30 |
| Find all providers in zip 23607 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1912390105 | Lindsay Hefner | Nurse Practitioner | 716 Denbigh Blvd Suite E2, Newport News, VA 23608-4414 | 2015-03-11 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| 1285925826 | Brenda J Rivera | Nurse Practitioner | 12100 Warwick Blvd Ste 202, Newport News, VA 23601-2365 | 2011-05-01 |
| 1538719356 | Claire Fritz Doherty | Nurse Practitioner | 11842 Rock Landing Dr Ste 115, Newport News, VA 23606-4437 | 2019-09-13 |
| 1083156277 | Kristi A Taylor | Nurse Practitioner | 12706 Mcmanus Blvd, Newport News, VA 23602 | 2016-11-05 |
| 1437544889 | Nicole J Finley | Nurse Practitioner | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2015-04-02 |
| 1174921365 | Lindsay Nicole Manzlak | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 | 2014-12-21 |
| 1013267400 | Andrea Krans Nelson | Nurse Practitioner | 11842 Rock Landing Dr, Ste 115, Newport News, VA 23606-4437 | 2012-09-13 |
| 1326300294 | Charlene Martin Smith | Nurse Practitioner | 860 Omni Blvd Ste 110, Newport News, VA 23606-4430 | 2012-06-15 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23607 |
Please comment or provide details below to improve the information on MRS. DEAXTRA BONHAM.
| 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.