MS. BONNIE MINTZ ANDERSON (NPI# 1881620714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881620714 |
| Entity Type | Individual |
| Full Name | MS. BONNIE MINTZ ANDERSON |
| Credential | APRN |
| Practice Address |
650 Komas Dr Suite #200 Salt Lake City UT 84108-1229 |
| Practice Telephone | 8015850394 |
| Practice Fax Number | 8015818979 |
| Mailing Telephone | 8015850394 |
| Mailing Fax Number | 8015818979 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
205069-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754427 | Bonnie Anderson | Chiropractor | 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 | 2020-03-06 |
| 1639650005 | Bonnie Y Anderson | Behavioral Analyst | 5200 77 Center Dr Ste 130, Charlotte, NC 28217-0742 | 2018-08-23 |
| 1093906018 | Bonnie Anderson | Student in an Organized Health Care Education/Training Program | 8726 S Sepulveda Blvd Ste D, Los Angeles, CA 90045-4082 | 2007-08-06 |
| 1871702282 | Bonnie J. Anderson | Dentist | 20 First Avenue S.w., Bowman, ND 58623 | 2007-05-22 |
| 1942811047 | Bonnie Anderson | Nurse Practitioner | 2710 College Ave, Conway, AR 72034-6141 | 2020-08-12 |
| 1174891337 | Bonnie Lynn Anderson | Clinical Exercise Physiologist | 507 S Main St, Viroqua, WI 54665-2059 | 2011-12-02 |
| 1295029783 | Bonnie Sue Anderson | Registered Nurse | 1245 N 29th St, Billings, MT 59101 | 2011-06-02 |
| 1982995577 | Bonnie Ruth Anderson | Counselor | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2011-04-29 |
| 1205162724 | Bonnie Jean Anderson | Physician Assistant | 5350 Tallman Ave Nw Ste 301, Seattle, WA 98107 | 2009-10-19 |
| 1336366798 | Bonnie Anderson | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2007-04-19 |
| Street Address |
650 KOMAS DR SUITE #200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720969 | Kevin Duff | Clinical Neuropsychologist | 650 Komas Dr, 106a, Salt Lake City, UT 84108-1215 | 2005-09-19 |
| 1396000873 | Travis D Sorenson | Social Worker | 650 Komas Dr, Salt Lake City, UT 84108-1215 | 2012-07-10 |
| 1336410265 | Bethany H Lawrence | Social Worker | 650 Komas Dr, 200, Salt Lake City, UT 84108-1215 | 2012-01-24 |
| 1538451455 | University of Utah Adult Behavioral Health Services | Psychiatry & Neurology | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2011-05-11 |
| 1467614966 | Jonathan Cox | Psychologist | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2008-06-26 |
| 1437347481 | Emily Marie Grossell | Pediatrics | 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 | 2007-10-03 |
| 1952528374 | Benjamin Russell Chan | Psychiatry & Neurology | 650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 | 2007-04-19 |
| 1619003449 | Michael Byron Johnson | Nurse Practitioner | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2007-02-26 |
| 1073659090 | Dianne Farrell Hale | Counselor | 650 Komas Dr, Suite 217-a, Salt Lake City, UT 84108-1215 | 2007-01-29 |
| 1700933538 | Rachele Mary Mccarthey | Pediatrics | 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
| 1568075604 | Michelle L Davis | Nurse Practitioner | 24 S 1100 E Ste 305, Salt Lake City, UT 84102-4500 | 2020-08-28 |
| 1518583988 | Melanie Elise Harris | Nurse Practitioner | 1250 E 3900 S Ste 301, Salt Lake City, UT 84124-1350 | 2020-06-22 |
| 1295359651 | Julie Nielsen | Nurse Practitioner | 1170 E Westminster Ave Apt C, Salt Lake City, UT 84105-3514 | 2020-06-02 |
| 1770112138 | Justin Henderson | Nurse Practitioner | 3851 S Birch Dr, Salt Lake City, UT 84109-3742 | 2020-04-07 |
| 1346885845 | Anita Hui Lucente | Nurse Practitioner | 1111 E Brickyard Rd, Salt Lake City, UT 84106-2560 | 2019-11-08 |
| 1841844057 | Mayra Ibeth Vences | Nurse Practitioner | 1146 N Antilles Dr, Salt Lake City, UT 84116-4656 | 2019-07-25 |
| 1710549928 | Jenny Farley Mason | Nurse Practitioner | 4179 S Monarch Way, Salt Lake City, UT 84124-3168 | 2019-07-08 |
| 1144889940 | Amy Jackson Gilbert | Nurse Practitioner | 1950 Circle of Hope Dr Rm 4146, Salt Lake City, UT 84112-5500 | 2019-06-06 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on MS. BONNIE MINTZ ANDERSON.
| 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.