Nonya Elizabeth Gustafson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0012818 Issued in CO

Practice address

1906 Blake Ave
Glenwood Springs, CO 81601-4259

Phone

(970) 384-7550

NPI assigned

Aug 19, 2014

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

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1104225879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 COLORADO AVE",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231518",
            "telephone_number": "970-309-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014259",
            "telephone_number": "970-384-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "NONYA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mae Griffiths, MSN, APRN, FNP-BC
• Shari Grondahl, RN
• Jennifer Kristina Gross, BCBA
• Jillian B Gruenberg
• Hannah Rose Grumley
• Lisa Guth, RN, BSN
• Heather Elizabeth Hadland, LMT
• Gabriella Haftel, RN
• Patrick Hailey
• Caitlin Hall, D.O

• Physical Therapist in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.