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Mia Bonilla , LPN

Licensed Practical Nurse β€’ Boardman, OH

Active NPI 1366971434 Individual Practitioner Female Practitioner
Practice location in NPPES

960 Boardman Canfield Rd
Boardman, OH 445124220

Call 3302598813 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

960 Boardman Canfield Rd

Boardman, OH 445124220

Telephone 3302598813
Organization at the Same NPPES Address or Phone
Discovery Ridge Recovery Center Llc Facility NPI 1124546015

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Youngstown, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boardman and Ohio

36 active clinicians are listed under Licensed Practical Nurse with a practice address in Boardman, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boardman

0% of these 36 clinicians have the CMS telehealth indicator.

0% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH 132103

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

113 Baldwin St

Youngstown, OH 44505

Phone: 3307745871

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 14, 2017

Registered at 960 BOARDMAN CANFIELD RD, BOARDMAN, OH 445124220 (Tel: 3302598813)

πŸ“
Updated Business Mailing Address July 14, 2017

Registered at 113 BALDWIN ST, YOUNGSTOWN, OH 445052803 (Tel: 3307745871)

πŸ‘€
Provider Name / Credentials Updated July 14, 2017

Recorded as MIA BONILLA, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Licensed Practical Nurse (license number reported to NPPES: OH 132103)

βœ…
NPI Profile Active June 12, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 12, 2017

Registered at 960 BOARDMAN CANFIELD RD, BOARDMAN, OH 445124220 (Tel: 3302598813)

πŸ“
Business Mailing Address (Initial Record) June 12, 2017

Registered at 113 BALDWIN ST, YOUNGSTOWN, OH 445052803 (Tel: 3307745871)

πŸ‘€
Provider Name / Credentials (Initial Record) June 12, 2017

Recorded as MIA BONILLA, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2017

Licensed Practical Nurse (license number reported to NPPES: OH 132103)

🟒
Initial NPI Registration & Enumeration June 12, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366971434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

113 Baldwin St

Youngstown, OH 445052803

Phone: 3307745871

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.