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NPI · 1639686363 · NPPES-sourced

Bonita Clark APRN

ActiveFamily Nurse Practitioner
NPI Number
1639686363
Type 1 · Individual
Taxonomy Code
363LF0000X
Contact
(727) 322-1054
License FL · APRN11000995
Last Updated
Enumerated
Primary practice addressFL · 33713-8900
1839 Central AveSt Petersburg, FL 33713-8900
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Also known as

  • Formerly known asHolloman, Bonita Joan

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1639686363 is registered to Bonita Clark APRN, a Family Nurse Practitioner practising at 1839 Central Ave in St Petersburg, Florida. Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Bonita Clark APRN has been enumerated in the National Provider Identifier (NPI) registry since 2018.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Bonita Clark APRN accepts. To confirm in-network status with your specific health plan, contact Bonita Clark APRN directly at (727) 322-1054.

Frequently asked

Yes. NPI 1639686363 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (727) 322-1054.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Bonita Clark APRN is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LF0000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Nurse Practitioner providers in Florida.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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