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).
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 |
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 |
Street Address |
2686 PATTERSON RD SMMG PHYS MED & REHAB |
City | GRAND JUNCTION |
State | CO |
Zip Code | 81506-8817 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 81506 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
Find all providers with the same taxonomy |
City | GRAND JUNCTION |
Zip Code | 81506 |
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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.