Bonnie J Barnes, RN

Key facts

NPI

1245448133

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

209336-3102 (UT)

Practice address

1140 W 500 S
Roosevelt, UT 84066

Phone

(435) 789-6300

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

Other names

• Bonnie J Smuin Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2007.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1245448133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 W 1000 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840788906",
            "telephone_number": "435-789-6300",
            "fax_number": "435-789-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 500 S",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "84066",
            "telephone_number": "435-789-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "BONNIE",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "209336-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "SMUIN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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