BONNY LOU OWENS (NPI# 1588669741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588669741 |
| Entity Type | Individual |
| Full Name | BONNY LOU OWENS |
| Credential | CVBCS |
| Practice Address |
1405 Sheridan Dr Tonawanda NY 14217-1248 |
| Practice Telephone | 7168364090 |
| Practice Fax Number | 7168364036 |
| Mailing Telephone | 7168364090 |
| Mailing Fax Number | 7168364036 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01482631 | 05 |
| Street Address |
1405 SHERIDAN DR |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14217-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710090154 | Michael Sanford Bernstein | Podiatrist | 1405 Sheridan Dr, Tonawanda, NY 14217 | 2006-08-17 |
| 1184647505 | Jenny T. Bagen | Nurse Practitioner | 1405 Sheridan Dr, Tonawanda, NY 14217-1248 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669831665 | Stephanie Reinhardt | Specialist | 177 Puritan Rd, Tonawanda, NY 14150-8527 | 2016-02-18 |
| 1164786752 | Kerry Byrnes | Specialist | 131 Avon Rd, Tonawanda, NY 14150-8403 | 2012-06-27 |
| 1841552874 | Cynthia Thiebolt | Specialist | 318 Morgan St, Tonawanda, NY 14150-2027 | 2012-06-14 |
| 1871855932 | Karen Ann Mendola | Specialist | 94 Glenhurst Rd, Tonawanda, NY 14150-8422 | 2012-06-13 |
| 1528329802 | Jessica Lynn Dominesey | Specialist | 276 Hinds St, Tonawanda, NY 14150-3727 | 2012-06-04 |
| 1558548453 | Tami Lynn Russo | Specialist | 221 Highland Pkwy, Tonawanda, NY 14223-1407 | 2008-01-23 |
| 1477589935 | Federico Gonzalez-doldan | Specialist | 585 Delaware St, Tonawanda, NY 14150-5300 | 2006-06-24 |
| 1487143814 | Stephanie Regina Barlow | Specialist | 205 Yorkshire Rd, Tonawanda, NY 14150-8350 | 2018-05-01 |
| 1457848129 | Holly Rogone | Specialist | 205 Yorkshire Rd, Tonawanda, NY 14150-8350 | 2018-04-18 |
| 1467856278 | Erin Ferrante | Specialist | 1914 Colvin Blvd, Tonawanda, NY 14150-6973 | 2014-10-22 |
| Find all providers in TONAWANDA | ||||
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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.