Josiah Bonnell, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5532914-4405 Issued in UT

Practice address

1756 W Park Ave
Riverton, UT 84065-4701

Phone

(801) 254-0309

NPI assigned

Jul 13, 2020

Last updated

Jul 27, 2020By the provider in NPPES

Sex

Male

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverton Family Health Center L L CGroup PAC ID 6406810779, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverton Family Health Center L L C

  • Primary Care Clinic/Center
  • Riverton, UT
  • NPI 1932285186
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1285252536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 N SHILOH WAY # A",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054416",
            "telephone_number": "801-367-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 W PARK AVE",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840654701",
            "telephone_number": "801-254-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNELL",
        "first_name": "JOSIAH",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5532914-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lauren Blayways, AUD
• Melanie Bledsoe, SLP
• William Derek Boam, MD
• Connor Oates Bolles
• Daniel Patrick Bolton Sr., OT
• Jennifer Borruso
• Brennen Bowen, PHARMD
• Jane C Bowman, MD
• Bradford J Lockhart DDS Apc
• Abigail Katherine Brady

• Family Nurse Practitioner in Riverton, UT
• Providers in Riverton, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.