BONITA A SPADE FNP,CDE
NPI 1861569329
Nurse Practitioner - Adult Health in North Charleston, SC

Active since November 29, 2006
2845 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 797-1770(843) 553-1498 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonita A Spade Fnp,cde NPPES

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

BONITA A SPADE FNP,CDE (NPI 1861569329) is an individual adult health provider in North Charleston, South Carolina, licensed in South Carolina (R64665) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1861569329
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBONITA A SPADECredential: FNP,CDE
Location Address2845 TRICOM STNorth Charleston, SC 29406-9172
Mailing Address2845 Tricom StNorth Charleston, SC 29406-9172 · (843) 797-1770 · Fax (843) 553-1498
Fax(843) 553-1498
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1861569329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in SC · R64665
2845 TRICOM ST, North Charleston, SC 29406

Other Identifiers 3

MedicaidNP0283SC
Medicare UPINS66172SC
OtherR64665SC · Sc State Id #

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2845 TRICOM ST
NORTH CHARLESTON, SC 29406
Nurse Practitioner (Adult Health)
2845 TRICOM ST
NORTH CHARLESTON, SC 29406
Internal Medicine
2845 TRICOM ST
NORTH CHARLESTON, SC 29406
Internal Medicine
2845 TRICOM ST
NORTH CHARLESTON, SC 29406
Nurse Practitioner (Adult Health)
2845 TRICOM ST
N CHARLESTON, SC 29406
Physician Assistant (Medical)
2845 TRICOM ST
NORTH CHARLESTON, SC 29406
Internal Medicine
2845 TRICOM ST
NORTH CHARLESTON, SC 29406

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 Bonita Spade's NPI number?

The NPI number for Bonita Spade is 1861569329. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Bonita Spade located?

Bonita Spade practices at 2845 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-1770.

What is Bonita Spade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Bonita Spade was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.