Alonzo Boris Denney

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1255008744 Issued in NE

Practice address

110 S Visiting Eagle St
Niobrara, NE 68760-7201

Phone

(402) 857-2300

Fax

(402) 857-2509

NPI assigned

Aug 24, 2021

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1255008744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNEY",
        "first_name": "ALONZO",
        "middle_name": "BORIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NE",
            "license": "1255008744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "adenney@societyofcare.org",
            "affiliation": "N",
            "endpointDescription": "adenney@societyofcare.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "adenney@societyofcare.org",
            "address_1": "110 S Visiting Eagle St",
            "city": "Niobrara",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687607201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandie K Carpenter, RDH
• Chelsey Renee Chohon, RN
• Jennifer Susan Cole, RN
• Joseph Michael Creager, RN
• Teri Ann Creager, RPH
• Brandi J Dimmitt, DDS
• Tina Marie Foxhoven, RN
• Meagan Marie Friend, RN
• Golden Living Center-Neligh
• Bobbie Jo Goodteacher

• Peer Specialist in Niobrara, NE
• Providers in Niobrara, NE by specialty
• Peer Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.