COLLEEN BONNER (NPI# 1154762888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154762888 |
| Entity Type | Individual |
| Full Name | COLLEEN BONNER |
| Practice Address |
444 W Osborn Rd Suite 301 Phoenix AZ 85013-3814 |
| Practice Telephone | 6028899401 |
| Mailing Telephone | 6028899401 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP5034 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
444 W OSBORN RD SUITE 301 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044751 | George A Van De Wyngaerde | Orthopaedic Surgery | 444 W Osborn Rd, Suite 200, Phoenix, AZ 85013-3814 | 2005-06-21 |
| 1164851267 | Isaak Duncan | Physical Therapist | 444 W Osborn Rd, Suite 303, Phoenix, AZ 85013-3814 | 2013-11-08 |
| 1285981399 | Terry Sue Wilcox | Nurse Practitioner | 444 W Osborn Rd, Suite 301, Phoenix, AZ 85013-3814 | 2012-08-08 |
| 1104103829 | Jerry Lee Lloyd Jr. | Specialist/Technologist | 444 W Osborn Rd, Suite 303, Phoenix, AZ 85013-3814 | 2011-11-09 |
| 1790081149 | Djlw Health Services, Inc | Prosthetic/Orthotic Supplier | 444 W Osborn Rd, 101, Phoenix, AZ 85013-3814 | 2011-02-02 |
| 1336461144 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 444 W Osborn Rd, Suite 200, Phoenix, AZ 85013-3814 | 2010-02-20 |
| 1477887982 | Az-tech Radiology & Open Mri | Specialist | 444 W Osborn Rd, Suite 105, Phoenix, AZ 85013-3814 | 2009-09-30 |
| 1144317637 | Rafael M Garcia | Physician Assistant | 444 W Osborn Rd, Suite 200, Phoenix, AZ 85013-3814 | 2006-10-06 |
| 1104937853 | William Friedman | Podiatrist | 444 W Osborn Rd, Suite 301, Phoenix, AZ 85013-3814 | 2006-08-31 |
| 1851302947 | Arizona Orthopedic & Fracture Surgeons | Orthopaedic Surgery | 444 W Osborn Rd, Suite 200, Phoenix, AZ 85013-3814 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
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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.