Active NPI
Bonnie Jeavons
- Specialist
- Wheat Ridge, CO
National Provider Identifier
1245532571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5430
- Practice address
- 4350 Wadsworth Blvd
Suite 430
Wheat Ridge, CO 80033-4641 - Phone
- (303) 921-3478
- NPI assigned
- Nov 18, 2010
- Last updated
- Nov 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5430 | CO | Primary |
Addresses
Primary practice location
4350 Wadsworth Blvd
Suite 430
Wheat Ridge, CO 80033-4641
Mailing address
1000 Carr St
Lakewood, CO 80214-4019
Phone (303) 921-3478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5430 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1245532571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CARR ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802144019",
"telephone_number": "303-921-3478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 WADSWORTH BLVD",
"address_2": "SUITE 430",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334641",
"telephone_number": "303-921-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAVONS",
"first_name": "BONNIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "5430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
- Nicole Jarril
- Jason Michael Jasasra
- Rebecca Jaskot
- Christina L Jason, LPC
- Jeanette Y Kelder DC PC (The Wellness Group)
- Jefferson Center for Mental Health (Blue Spruce Pharmacy at Independence)
- Jefferson Center for Mental Health
- Jefferson Center for Mental Health
- Jefferson Center for Mental Health
- Jefferson Center for Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.