CONNIE ELA LUPE JOY BILLONES BONGAR


Address: 2686 Patterson Rd, Smmg Phys Med & Rehab, Grand Junction, CO 81506-8817
Phone: 9702986005

CONNIE ELA LUPE JOY BILLONES BONGAR (NPI# 1174997290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174997290
Entity Type Individual
Full Name CONNIE ELA LUPE JOY BILLONES BONGAR
Credential AGNP
Practice Address 2686 Patterson Rd
Smmg Phys Med & Rehab
Grand Junction
CO 81506-8817
Practice Telephone 9702986005
Practice Fax Number 9702987138
Mailing Telephone 9702986005
Mailing Fax Number 9702987138
Enumeration Date 2015-12-01
Last Update Date 2017-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
APN.0991782 CO Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
APN.0991782-NP CO Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
APN.0991782-NP CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2686 PATTERSON RD
SMMG PHYS MED & REHAB
City GRAND JUNCTION
State CO
Zip Code 81506-8817

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801880679 Daniel Irvin Slater Physical Medicine & Rehabilitation 2686 Patterson Rd, Grand Junction, CO 81506 2005-09-07
1740894229 Scl Health Medical Group - Grand Junction, LLC Clinic/Center 2686 Patterson Rd, Entrance 41, Grand Junction, CO 81506-1937 2020-09-02
1902410491 Scl Health Medical Group - Grand Junction, LLC Physical Medicine & Rehabilitation 2686 Patterson Rd, Grand Junction, CO 81506-8817 2020-09-02
1477165702 Scl Health Medical Group - Grand Junction, LLC Internal Medicine 2686 Patterson Rd, Grand Junction, CO 81506-8817 2020-08-18
1821647801 St Mary's Hospital and Medical Center, Inc General Acute Care Hospital 2686 Patterson Rd, Entrance 40, Grand Junction, CO 81506-8817 2019-09-11
1124527361 Fran Chau Jessup Dietitian, Registered 2686 Patterson Rd, Grand Junction, CO 81506-8817 2018-02-02
1528575776 Katherine L Stephens-bogard Dietitian, Registered 2686 Patterson Rd, Grand Junction, CO 81506-8817 2018-01-09
1649787193 Lisa Renee Mcginnett Health Educator 2686 Patterson Rd, Grand Junction, CO 81506-8817 2018-01-05
1457607921 Valerie A Cotter Physician Assistant 2686 Patterson Rd, Smmg Phys Med & Rehab, Grand Junction, CO 81506-8817 2012-08-02
1467689679 Susan Geneice Brown Nurse Practitioner 2686 Patterson Rd, Grand Junction, CO 81506-8817 2009-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235759820 Dana Patton Student in an Organized Health Care Education/Training Program St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 2020-04-23
1720646292 Creed Ott Family Medicine 2698 Patterson Road, Grand Junction, CO 81506 2019-05-30
1568948776 Lakeside Psychological Services, LLC Clinic/Center 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 2018-07-11
1700389095 Catherine Martha Plough Registered Nurse 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 2018-03-13
1114445657 Katrina Nicol Metcalf Nurse Practitioner 2643 Patterson Road Suite 605, Grand Junction, CO 81506 2017-09-05
1346760642 Christopher Lewis Hoef II Licensed Practical Nurse 3031 N 14th St, Grand Junction, CO 81506 2017-06-27
1477928976 Welbrook Senior Living Grand Junction LLC Skilled Nursing Facility 2596 Patterson Rd., Grand Junction, CO 81506 2015-12-09
1073902284 Brett Adams Audiologist-Hearing Aid Fitter 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 2015-01-12
1942625116 Pamela W Kreps Hearing Instrument Specialist 759 Horizon Dr Ste E, Grand Junction, CO 81506 2014-02-25
1962779249 Premere Rehab LLC Occupational Therapist 625 271/2 Road, Grand Junction, CO 81506 2011-11-30
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1629679519 Amanda Winter Nurse Practitioner 17657 Road 27.7, Dolores, CO 81323-8605 2020-11-05
1568078707 William Glenn Vause Nurse Practitioner 1625 S Iola St Apt 107, Aurora, CO 80012-4087 2020-09-22
1215547286 Kimberly Frances Vialpando Nurse Practitioner 216 S 11th St, Colorado Springs, CO 80904-4300 2020-08-05
1881204071 Annette K Johnson Nurse Practitioner 13975 W Layton Cir, Morrison, CO 80465-1071 2020-08-03
1194333195 Kaitlin Kraus Nurse Practitioner 820 N Sherman St Apt 213, Denver, CO 80203-2975 2020-07-16
1386262871 Catherine Fenster Nurse Practitioner 305 Prospector Ave, Durango, CO 81301-7954 2020-07-10
1487291233 Next Door Health Care Nurse Practitioner 190 S 1st St Unit A, Bennett, CO 80102-7899 2019-11-27
1255981122 Mary Jeal Carrasco Nurse Practitioner 6850 E Evans Ave Ste 102, Denver, CO 80224-2300 2019-09-12
1871057620 Marion Eleanor Toll Nurse Practitioner 1025 Garfield St Ste B, Fort Collins, CO 80524-3930 2019-01-25
1225534860 Elizabeth Faye Kirt Nurse Practitioner 924 Oak St., Steamboat Springs, CO 80487 2018-04-03
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Competitor

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City GRAND JUNCTION
Zip Code 81506

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Dataset Information

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.

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