BONNIE JEANNE BOUDAKIAN (NPI# 1124571567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124571567 |
| Entity Type | Individual |
| Full Name | BONNIE JEANNE BOUDAKIAN |
| Credential | R.N., B.S.N. |
| Practice Address |
3033 S Parker Rd Suite 300 Aurora CO 80014-2910 |
| Practice Telephone | 7205771804 |
| Practice Fax Number | 7205771803 |
| Mailing Telephone | 7205771804 |
| Mailing Fax Number | 7205771803 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN.1637831 | CO | Nursing Service Providers |
| Street Address |
3033 S PARKER RD SUITE 300 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801879994 | Avista Emergency Physicians, P.C. | Emergency Medicine | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2005-11-22 |
| 1013440080 | Centennial Shc, LLC | In Home Supportive Care | 3033 S Parker Rd, Ste. 220, Aurora, CO 80014-2910 | 2017-04-06 |
| 1801124417 | Lindy L Thornbloom | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2009-11-20 |
| 1215262431 | Joseph E Shankland | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2009-10-06 |
| 1750545687 | James Kim | Chiropractor | 3033 S Parker Rd, Suite 450, Aurora, CO 80014-2910 | 2008-07-10 |
| 1548428360 | Mary Beth Kalmeyer | Nurse Practitioner | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2008-05-29 |
| 1952588733 | Heather T Porst | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2008-01-24 |
| 1225210966 | Kristine R Hunerwadel | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2007-12-05 |
| 1982886321 | Sara E Michael | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2007-11-28 |
| 1972784502 | Clint T Dillard | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
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| 1417561184 | Binalfew Mengistu | Registered Nurse | 2250 S Nome Ct, Aurora, CO 80014-8001 | 2020-09-01 |
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| 1235198904 | Jenny Miller | Registered Nurse | 12313 N Hogan Rd, Aurora, IN 47001-8016 | 2006-03-21 |
| 1366066219 | Ivo Ewang Ewane | Registered Nurse | 3116 Prairie St, Aurora, IL 60506-9229 | 2020-06-05 |
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| 1982217899 | Angela Mulcahy | Registered Nurse | 4675 S Acoma St, Englewood, CO 80110-5739 | 2020-08-28 |
| 1922630003 | Sola D Oyelakin | Registered Nurse | 18862 E 48th Pl, Denver, CO 80249-8725 | 2020-02-06 |
| 1861039919 | Stephanie Jo Oneil | Registered Nurse | 1225 N Main Ave, Akron, CO 80720-1202 | 2019-12-09 |
| 1053960526 | Beth Alana Calix Castro | Registered Nurse | 884 S Quieto Way, Denver, CO 80223-2630 | 2019-09-08 |
| 1366902553 | Kathleen Saemi Parsons | Registered Nurse | 5181 S Quintero St, Centennial, CO 80015-2450 | 2019-03-22 |
| 1376017491 | Alexio Sipiriano | Registered Nurse | 3886 Eagle Tail Ln, Castle Rock, CO 80104-7925 | 2019-01-11 |
| 1447730841 | Shahram Sean Sadighian | Registered Nurse | 14193 Double Dutch Cir, Parker, CO 80134-8858 | 2018-08-16 |
| 1144733809 | Altra Healthcare Staffing, LLC. | Registered Nurse | 9619 Queenscliffe Dr, Highlands Ranch, CO 80130-7166 | 2017-11-15 |
| 1336652759 | Heidi Marie Hoyt | Registered Nurse | 6523 Steeple Rock Dr, Frederick, CO 80516-9524 | 2017-11-07 |
| 1699284653 | Doug Benzel | Registered Nurse | 3733 Precision Dr # D225, Fort Collins, CO 80528-4553 | 2017-09-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.