Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366971434 Individual Practitioner Female Practitioner

Mia Bonilla , LPN

Licensed Practical Nurse • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Mia Bonilla, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Boardman, OH. Practice services are available at 960 BOARDMAN CANFIELD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

960 Boardman Canfield Rd

Boardman, OH 445124220

Telephone 3302598813
Associated Practice Facility / Clinic
🏢 Prescribed Services, Llc Facility NPI 1740672930

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Boardman, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License 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.

Secondary Practice Locations

113 Baldwin St

Youngstown, OH 44505

Phone: 3307745871

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Margaret Skelton

Counselor - Addiction (Substance Use Disorder)

NPI 1043722234
Michele Messner

Counselor - Addiction (Substance Use Disorder)

NPI 1316457294
Derek Doss

Social Worker - Clinical

NPI 1336658301
Susan Zoky , LPN

Licensed Practical Nurse

NPI 1346770450

Licensed Practical Nurse

Jeffrey Grace , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1366951832

Chemical Dependency Counselor Assistant

Heather Carnegie

Licensed Practical Nurse

NPI 1386153344

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2017

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

📍
Updated Business Mailing Address July 14, 2017

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

👤
Provider Name / Credentials Updated July 14, 2017

Recorded as MIA BONILLA, LPN

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

Licensed Practical Nurse (License #132103 in OH)

NPI Profile Active June 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2017

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

📍
Updated Business Mailing Address June 12, 2017

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

👤
Provider Name / Credentials Updated June 12, 2017

Recorded as MIA BONILLA, LPN

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

Licensed Practical Nurse (License #132103 in OH)

🟢
Initial NPI Registration & Enumeration June 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.