BONNIE KILGANNON (NPI# 1669487419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669487419 |
| Entity Type | Individual |
| Full Name | BONNIE KILGANNON |
| Practice Address |
2250 Robins Dr Layton UT 84041-1140 |
| Mailing Address |
Po Box 689 Farmington UT 84025-0689 |
| Practice Telephone | 8017737060 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
208361-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2250 ROBINS DR |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427017581 | Patricia R Totterer | Social Worker | 2250 Robins Dr, Layton, UT 84041-1140 | 2006-03-18 |
| 1598938920 | Bryce Davidson | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2008-04-07 |
| 1194997817 | Marissa Hoddy | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2008-04-02 |
| 1205004728 | James Fager | Social Worker | 2250 Robins Dr, Layton, UT 84041-1140 | 2008-02-19 |
| 1952519514 | Mims B. Barker | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-05-18 |
| 1891901138 | Jenna Lea Martin | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-05-15 |
| 1679791974 | Jeffery Wilson Corbin | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-04-23 |
| 1982822151 | Patricia A. Poulson | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-04-23 |
| 1093933178 | Megan Ashley Robbins | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-04-23 |
| 1619195799 | Elizabeth Cain | Social Worker | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528414232 | Elizabeth Greene | Nurse Practitioner | 934 S Main St, Layton, UT 84041 | 2016-05-11 |
| 1982060828 | Bret Hafen | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2016-01-07 |
| 1417199506 | Jonathan Andrew Selden | Nurse Practitioner | 2317 N Hill Field Rd, Ste 103, Layton, UT 84041-4782 | 2009-04-03 |
| 1679777148 | Julie Krause | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2007-06-11 |
| 1275547507 | Joel S Dario | Nurse Practitioner | 2250 Robins Dr, Layton, UT 84041-1140 | 2006-07-29 |
| 1104846781 | Heather L Bernard | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2006-07-19 |
| 1770563629 | Scott Warburton Richins | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2006-01-18 |
| 1538147418 | Mitzy D. Stewart | Nurse Practitioner | 934 S Main St, Layton, UT 84041-7135 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
| 1710595178 | Shannon Lee Zaryoun | Nurse Practitioner | 7970 S Grand Vista Way, Cottonwood Heights, UT 84121-5683 | 2020-07-21 |
| 1023640851 | Senior Nurse Practitioner Consultants | Nurse Practitioner | 5802 S 900 E # 3, Murray, UT 84121-1644 | 2020-02-10 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1124676044 | Marie R. Hurst | Nurse Practitioner | 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 | 2019-09-04 |
| 1437706058 | Austin Sumner Heaps | Nurse Practitioner | 1044 N 600 E, Morgan, UT 84050-9269 | 2019-08-19 |
| 1821565839 | Clint Lee Martineau | Nurse Practitioner | 230 N 1680 E # 1, Saint George, UT 84790-2579 | 2018-10-28 |
| 1356827505 | Ashley Smith | Nurse Practitioner | 515 N 600 E, Hyrum, UT 84319-1133 | 2018-07-11 |
| 1588176606 | Bradley Keep | Nurse Practitioner | 4610 W 9980 N, Cedar Hills, UT 84062-8728 | 2017-10-30 |
| 1023548070 | Sarah Leggett | Nurse Practitioner | 9235 S Redwood Rd Ste A, West Jordan, UT 84088-5811 | 2017-06-13 |
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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.