MRS. BONNIE BLEVINS (NPI# 1992894331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992894331 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE BLEVINS |
| Credential | R.N. |
| Practice Address |
1150 State Highway 248 Suite 200 Branson MO 65616-3758 |
| Mailing Address |
1150 State Highway 248 Ste 200 Branson MO 65616-4186 |
| Practice Telephone | 4173364112 |
| Practice Fax Number | 4173354684 |
| Mailing Telephone | 4173364112 |
| Mailing Fax Number | 4173354684 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 309-001816 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ILLINOIS LICENSE | 041-220150 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952963514 | Bonnie Joanne Blevins | Specialist/Technologist | 615 Mccallie Ave Bldg Dept6606, Chattanooga, TN 37403-2504 | 2019-07-03 |
| Street Address |
1150 STATE HIGHWAY 248 SUITE 200 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881678688 | Skaggs Community Health Center and Clinics | Specialist | 1150 State Highway 248, Ste. 100, Branson, MO 65616-3758 | 2005-12-05 |
| 1518460229 | Karissa N Fox Koscheski | Physician Assistant | 1150 State Highway 248, Branson, MO 65616-3758 | 2018-03-09 |
| 1164973020 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248, Branson, MO 65616-3758 | 2016-10-17 |
| 1124415864 | Leo Michael Martinez | Social Worker | 1150 State Highway 248, Ste 202, Branson, MO 65616-3758 | 2015-04-21 |
| 1952705881 | Stephanie Jean Rexilius | Nurse Practitioner | 1150 State Highway 248, Branson, MO 65616-3758 | 2014-10-21 |
| 1508279381 | Jeremy Berbereia | Physician Assistant | 1150 State Highway 248, #200, Branson, MO 65616-3758 | 2014-06-09 |
| 1902188535 | Skaggs Community Hospital Association | Obstetrics & Gynecology | 1150 State Highway 248, Suite 201b, Branson, MO 65616-3758 | 2011-09-09 |
| 1629203120 | Irina G Durbin | Physician Assistant | 1150 State Highway 248, Branson, MO 65616-3758 | 2009-05-28 |
| 1770728586 | Branson Heart Center | Internal Medicine | 1150 State Highway 248, Branson, MO 65616-3758 | 2008-12-08 |
| 1629156971 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248, Suite 202, Branson, MO 65616-3758 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083127344 | Mary Kristin Seymour | Clinical Nurse Specialist | 8515 Delmar Blvd Ste 230, Saint Louis, MO 63124-2168 | 2017-11-08 |
| 1578543542 | Ann Marie Homburger | Clinical Nurse Specialist | 4400 Wornall Rd, Kansas City, MO 64111-3238 | 2006-01-18 |
| 1932742822 | Lakeisha Perry | Clinical Nurse Specialist | 1851 Arrowpoint Dr, Saint Louis, MO 63138-1515 | 2019-10-23 |
| 1316502602 | Stephanie Ward | Clinical Nurse Specialist | 2750 Clay Edwards Dr Ste 410, North Kansas City, MO 64116-3258 | 2019-05-02 |
| 1740722404 | Sara Landreth | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-11-12 |
| 1043766181 | Glenda Miller | Clinical Nurse Specialist | 3801 S National Ave, Springfield, MO 65807-5210 | 2016-08-29 |
| 1558727750 | Kristin Starr | Clinical Nurse Specialist | 4321 Washington Street, Suite 1400, Kansas City, MO 64111 | 2016-01-05 |
| 1245632819 | Dyann Helming | Clinical Nurse Specialist | One Hospital Drive, Columbia, MO 65212-0001 | 2014-09-25 |
| 1104225846 | Tiffany Suzette Meller | Clinical Nurse Specialist | One Hospital Dr, Columbia, MO 65212-0001 | 2014-08-19 |
| 1992135800 | Robert Thompson | Clinical Nurse Specialist | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2013-11-14 |
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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.