PATRICIA BONNER


Address: 922 Sw Baya Dr, Lake City, FL 32025-4209
Phone: 3867549005

PATRICIA BONNER (NPI# 1720448814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720448814
Entity Type Individual
Full Name PATRICIA BONNER
Practice Address 922 Sw Baya Dr
Lake City
FL 32025-4209
Practice Telephone 3867549005
Practice Fax Number 3867549017
Mailing Telephone 3867549005
Mailing Fax Number 3867549017
Enumeration Date 2016-03-02
Last Update Date 2016-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL DRIVERS LICENSE B560684699060 01

Other Providers PATRICIA BONNER

NPI Name Taxonomy Address Enumeration
1598155327 Patricia Bonner Occupational Therapy Assistant 5555 174th St, Tinley Park, IL 60477-3156 2015-02-02
1881787869 Patricia A Bonner Nurse Practitioner 525 Willowbrook Rd, Columbus, MS 39705-2016 2006-10-02
1821582768 Patricia Anne Bonner Social Worker 1400 Noyes St, Utica, NY 13502-3854 2018-06-14
1417938481 Patricia A Bonner Dentist 241 King St, Suite 220, Northampton, MA 01060-2335 2005-11-08

Office Location

Street Address 922 SW BAYA DR
City LAKE CITY
State FL
Zip Code 32025-4209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780957050 Daphne O Cunningham Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2012-02-17
1578923553 Lauren Maloney Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2016-03-03
1851751994 Megan Hill Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2016-03-02
1902266026 Natalie Land Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2016-03-02
1861863367 Brittney Moreau Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2015-10-12
1457748972 Tatianna Lucia Kelaita Social Worker 922 Sw Baya Dr, Lake City, FL 32025-4209 2015-04-22
1104246628 Resolutions Heatlh Alliance Health Maintenance Organization 922 Sw Baya Dr, Lake City, FL 32025-4209 2014-04-23
1871919563 Kortney Tomlinson Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2014-03-05
1861818544 Resolutions Health Alliance, Pa Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2014-03-05
1013339043 Pawel Lazarczyk Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2014-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801438353 Jennifer Bennett Pharmacist 347 Sw Main Blvd Suite 102, Lake City, FL 32025 2019-10-16
1700352838 Robert J Sansouci IIi IIi Physical Therapy Assistant 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 2018-10-16
1316442783 Emily Bailey Developmental Therapist 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 2018-03-28
1811446370 Michelle Hart Behavioral Analyst 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 2016-09-26
1922467646 Irene Aponte Moreno Nurse Practitioner 440 Sw Perimeter Glen, Lake City, FL 32025 2016-02-23
1093186777 Decarlos Scippio Counselor 619 Sw Baya Drive Suite 102, Lake City, FL 32025 2015-10-07
1497132476 Jamecia Legree Registered Nurse 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 2015-04-29
1306249149 Mercy Home Assisted Living Facility LLC Assisted Living Facility 184 S.e. Beech Street, Lake City, FL 32025 2014-10-08
1598174344 Karen Mcdonald Developmental Therapist 4523 Se County Road 252, Lake City, FL 32025 2014-08-06
1275944126 Mohammad Ali Faisal Mdpa Specialist 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 2014-05-14
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598366171 Neurodiverse Ability Services LLC Counselor 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 2020-11-02
1538715016 Vanessa George Counselor 930 Ne Joe Coney Ter, Lake City, FL 32055-1636 2019-08-12
1093186777 Decarlos Scippio Counselor 619 Sw Baya Drive Suite 102, Lake City, FL 32025 2015-10-07
1811399439 Michael Ortiz Counselor 311 Se Mill Creek Ct, Lake City, FL 32025-3912 2014-09-25
1124439351 Tynette Jordan Counselor 708 N.w Wilson St., Lake City, FL 32055 2014-05-09
1730426347 Jesenia Minniefield Counselor 136 Nw Veterans St, Lake City, FL 32055-3900 2013-01-16
1780957050 Daphne O Cunningham Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2012-02-17
1841585874 Vadonna Benson Bartell Counselor 711 Bartells Rd, Lake City, SC 29560-7564 2011-06-17
1417100140 Resolutions Health Alliance, P.a. Counselor 297 Nw Hillsboro St, Lake City, FL 32055-3320 2008-10-28
1093974164 Robert Reynierson Counselor 439 Sw Michigan Street, Lake City, FL 32025-0440 2008-06-04
Find all providers in LAKE CITY

Competitor

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City LAKE CITY
Zip Code 32025

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Dataset Information

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.

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