MRS. MARY KATE BONILLA CRNP
NPI 1114070786
Nurse Practitioner in Huntsville, AL

Active since January 18, 2007
400 WHITESPORT DR SW SUITE 201, HUNTSVILLE, AL 35801(256) 882-9777(256) 882-9188 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Kate Bonilla Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY KATE BONILLA CRNP (NPI 1114070786) is an individual nurse practitioner in Huntsville, Alabama, licensed in Florida (ARNP 2235552) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114070786
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARY KATE BONILLACredential: CRNP
Location Address400 WHITESPORT DR SW SUITE 201Huntsville, AL 35801-6429
Mailing Address102 Mcadoo DrMadison, AL 35758-8409 · (256) 772-7530 · Fax (256) 772-5968
Fax(256) 882-9188
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1114070786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · ARNP 2235552
Definition
(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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1-038037 (AL)
400 WHITESPORT DR SW SUITE 201, Huntsville, AL 35801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bonilla's NPI number?

The NPI number for Mary Bonilla is 1114070786. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Mary Bonilla located?

Mary Bonilla practices at 400 Whitesport Dr SW Suite 201, Huntsville, AL 35801. The listed phone number is (256) 882-9777.

What is Mary Bonilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Bonilla was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.