Trina Renee Bozeman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0015639 Issued in CO

Practice address

3031 W 76TH Ave
Westminster, CO 80030-4909

Phone

(303) 853-3500

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Trina Bozeman Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1003373093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 N GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053428",
            "telephone_number": "731-358-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W 76TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800304909",
            "telephone_number": "303-853-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 W 122nd Ave #100",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "80234",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZEMAN",
        "first_name": "TRINA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0015639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINA",
            "last_name": "DAVIS",
            "middle_name": "BOZEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallory Boyd, MS ACSM CEP
• Vanessa Boyd, LPC
• Boyle Family Dermatology
• Monica Rose Boyle, M.D.
• Sheila Rose Boyle
• Beyonce Bracamontes, RBT
• Lucas Bradley
• Margot Scott Bradley, PSYD CNS
• Sara Allison Brady, WHNP
• Walker Brainard, PHARM. D

• Professional Counselor in Westminster, CO
• Providers in Westminster, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.