Active NPIIndividual provider

Mrs. Khadene O Bonner Thompson

Case Manager/Care Coordinator in Roxbury, Massachusetts

NPI Number1992645436
Practice location
1640 Washington St, Roxbury, MA 02118-3380
Fax
617-986-3407
Last updated
April 1, 2026

Khadene Olivene Bonner Thompson is a Case Manager/Care Coordinator based in Roxbury, MA. Khadene Olivene Bonner Thompson practices in Roxbury, MA. The NPI Number for Khadene Olivene Bonner Thompson is 1992645436. The current practice location address for Khadene Olivene Bonner Thompson is 1640 Washington St, Roxbury, MA 02118-3380 and can be reached out via phone at 857-452-2402 and via fax at 617-986-3407.

Provider Profile Details

NPI Number
1992645436
Provider Name
Khadene Olivene Bonner Thompson
Provider Entity Type
Individual
Gender
Female
Address
1640 Washington St, Roxbury, MA 02118-3380
Phone Number
857-452-2402
Fax Number
617-986-3407
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
April 1, 2026
Last Update Date
April 1, 2026
Certification Date
April 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1640 Washington St
Roxbury, MA 02118-3380
Zip
02118-3380
Phone Number
857-452-2402
Fax Number
617-986-3407
Roxbury, MA 02118Get directions →

Provider Business Mailing Address Details

Address
1640 Washington St
Roxbury, MA 02118-3380
City
Roxbury
State
MA
Zip
02118-3380
Phone Number
857-452-2402
Fax Number
617-986-3407

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Khadene O Bonner Thompson?

The NPI number of Mrs. Khadene O Bonner Thompson is 1992645436. It was assigned on April 1, 2026 and is currently active in the NPPES registry.

What is the specialty of Mrs. Khadene O Bonner Thompson?

Mrs. Khadene O Bonner Thompson is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Mrs. Khadene O Bonner Thompson practice?

The practice location is 1640 Washington St, Roxbury, MA 02118-3380. The office can be reached at 857-452-2402 (phone) or 617-986-3407 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992645436 directly on the NPPES registry website.

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