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Export Provider Record NPI 1083254320
Katie Jane BonarCRNP
Active
NPI Number1083254320
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1083254320
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2020-01-15
Last Updated2023-03-01
Mailing Address1215 7th St Se Ste 140
Decatur, AL 35601-3394
United States
Phone: (256) 973-5400
📍 View Map
Primary Practice Address1215 7th St Se Ste 140
Decatur, AL 35601-3394
United States
Phone: (256) 973-5400
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineAL1-121641
Export Provider Record NPI 1083254320
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About NPI 1083254320

Katie Jane Bonar CRNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083254320. The primary specialty listed is Family Medicine. The provider is located in Decatur, AL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-01-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083254320?

NPI 1083254320 belongs to Katie Jane Bonar CRNP, a Family Medicine in Decatur, AL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083254320 active?

The current status of NPI 1083254320 in the NPPES registry is Active. The record was last updated on 2023-03-01.

What specialty is NPI 1083254320?

NPI 1083254320 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083254320?

You can verify NPI 1083254320 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083254320?

The primary practice address on file for NPI 1083254320 is 1215 7th St Se Ste 140, Decatur, AL 35601-3394. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083254320 issued?

NPI 1083254320 was first issued (enumerated) on 2020-01-15. The NPPES record was last updated on 2023-03-01.

Practice Location Map

Katie Jane Bonar is located at 1215 7th St Se Ste 140, Decatur, AL. Use the map below to find directions or verify the practice location.

📍 1215 7th St Se Ste 140, Decatur, AL 35601-3394  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Katie Jane Bonar. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083254320. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine1-121641AL
Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162