MRS. BONITA B SMITH (NPI# 1851691612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851691612 |
| Entity Type | Individual |
| Full Name | MRS. BONITA B SMITH |
| Credential | N.P.-C. |
| Practice Address |
6859 E Rembrandt Ave Suite 117 Mesa AZ 85212-3628 |
| Practice Telephone | 4806321577 |
| Practice Fax Number | 4806321574 |
| Mailing Telephone | 4806321577 |
| Mailing Fax Number | 4806321574 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F0510070 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527926 | Bonita Smith | Counselor | 10632 Little Patuxent Pkwy Ste 327, Columbia, MD 21044-6283 | 2019-09-18 |
| 1023528114 | Bonita Louise Smith | Social Worker | 2323a E Palmdale Blvd, Palmdale, CA 93550-4957 | 2017-10-03 |
| Street Address |
6859 E REMBRANDT AVE SUITE 117 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421251 | Zelalem Yilma | Internal Medicine | 6859 E Rembrandt Ave, Suite 117, Mesa, AZ 85212-3628 | 2005-07-20 |
| 1336681014 | Health Genius Inc | Radiology | 6859 E Rembrandt Ave, Suite 111b, Mesa, AZ 85212-3628 | 2016-11-10 |
| 1154777647 | Integrasurgical Ambulatory Centers of Arizona | Clinic/Center | 6859 E Rembrandt Ave, Suite 114, Mesa, AZ 85212-3628 | 2016-05-13 |
| 1326412388 | Elena Carretta | Nurse Practitioner | 6859 E Rembrandt Ave, Ste 117, Mesa, AZ 85212-3628 | 2015-11-13 |
| 1558617407 | Britany R Kormos | Nurse Practitioner | 6859 E Rembrandt Ave, Suite 117, Mesa, AZ 85212-3628 | 2012-07-30 |
| 1548438716 | San Tan Cardiovascular Center LLC | Internal Medicine | 6859 E Rembrandt Ave, Suite 117, Mesa, AZ 85212-3628 | 2008-02-11 |
| 1164486460 | Sean Oregan | Internal Medicine | 6859 E Rembrandt Ave, Suite 117, Mesa, AZ 85212-3628 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632975 | Heidi Anne Parker | Nurse Practitioner | 2622 E Fountain St, Mesa, AZ 85213-5339 | 2020-02-28 |
| 1386295293 | Tracey D Emmons | Nurse Practitioner | 1654 S Lemon, Mesa, AZ 85206-3832 | 2019-09-23 |
| 1598314247 | Tawnya Grover | Nurse Practitioner | 6546 E Ingram St, Mesa, AZ 85205-3785 | 2019-09-05 |
| 1497309330 | Ashley Ross | Nurse Practitioner | 145 N 74th St, Mesa, AZ 85207-8327 | 2019-07-29 |
| 1417500901 | Katherine Elizabeth Benson | Nurse Practitioner | 3707 E Southern Ave # Floors12, Mesa, AZ 85206-2569 | 2019-07-23 |
| 1336700798 | Gwenda K Hatcher | Nurse Practitioner | 6242 E Arbor Ave Ste 123, Mesa, AZ 85206-1309 | 2019-06-26 |
| 1538725072 | Autumn Lemke | Nurse Practitioner | 2132 W Isthmus Loop, Mesa, AZ 85202-5518 | 2019-05-09 |
| 1265942395 | Janna Kay Stults | Nurse Practitioner | 2045 S Vineyard Ste 136, Mesa, AZ 85210-6891 | 2017-10-03 |
| 1285019596 | Shuang Krus | Nurse Practitioner | 2919 S Ellsworth Rd Ste 135, Mesa, AZ 85212-2168 | 2015-07-28 |
| 1619268190 | Dawn Lynn Williams | Nurse Practitioner | 4540 E Baseline Rd Suite 114, Mesa, AZ 85206 | 2011-05-02 |
| Find all providers in MESA | ||||
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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.