LAURA BONNEVILLE (NPI# 1467936039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467936039 |
| Entity Type | Individual |
| Full Name | LAURA BONNEVILLE |
| Credential | NCC |
| Practice Address |
1090 W Park Pl Coeur D Alene ID 83814-2785 |
| Mailing Address |
13114 N Westwood Dr Hayden ID 83835-7464 |
| Practice Telephone | 2086205250 |
| Mailing Telephone | 2086603261 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-7028 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1090 W PARK PL |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083670889 | Jana M Qualls | Nurse Practitioner | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2006-04-21 |
| 1043837685 | Amanda Ament | Dietitian, Registered | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2020-06-30 |
| 1386284958 | Rachel Jones | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2020-01-13 |
| 1437715208 | Kristy Handyside | Nurse Practitioner | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2019-05-16 |
| 1144787540 | Laboratory Corporation of America | Clinical Medical Laboratory | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2019-02-22 |
| 1114481140 | Laura J. Haney | Nurse Practitioner | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2019-01-23 |
| 1548736960 | Melanie Jane Moss | Physician Assistant | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2018-10-23 |
| 1720564271 | Dirne Health Centers Inc | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2018-07-18 |
| 1679003990 | Melinda Janet Soltys | Social Worker | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2017-06-19 |
| 1245760313 | Kristopher Aaron Arnold | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851947964 | Sebastian George Horton | Counselor | 250 Northwest Blvd Ste 103, Coeur D Alene, ID 83814-2971 | 2019-08-14 |
| 1457834921 | Amanda Mae Smith | Counselor | 1609 N Government Way, Coeur D Alene, ID 83814-3337 | 2018-09-11 |
| 1407333818 | Mariann Federspiel | Counselor | 560 W Canfield Ave Ste 300, Coeur D Alene, ID 83815-7953 | 2018-07-27 |
| 1710499777 | Joanna Siemens | Counselor | 501 E Garden Ave Apt 6, Coeur D Alene, ID 83814-2985 | 2017-10-31 |
| 1922451343 | Kaela Haycraft | Counselor | 250 Northwest Blvd Ste 107a, Coeur D Alene, ID 83814-2971 | 2016-07-20 |
| 1952775140 | Dirne Health Centers, Inc. | Counselor | 1765 W Golf Course Rd, Coeur D Alene, ID 83815-9033 | 2015-11-25 |
| 1922352798 | Lindsay Lartz | Counselor | 7905 N Meadowlark Way Ste B, Coeur D Alene, ID 83815-5041 | 2012-11-01 |
| 1518210129 | Kasey A Nixon | Counselor | 2195 Ironwood Ct Ste D, Coeur D Alene, ID 83814-2624 | 2012-10-19 |
| 1336426550 | Shelley Rae Phillips | Counselor | 212 S 11th St Ste 5, Coeur D Alene, ID 83814-4000 | 2011-11-16 |
| 1295015204 | Robin Bianco | Counselor | 2101 N Lakewood Dr, Suite 220, Coeur D Alene, ID 83814-2473 | 2011-08-22 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on LAURA BONNEVILLE.
| 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.