Active NPI
Bonnie Duran, NP
- Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1306861216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 62034
- Practice address
- 3426 Lake Ave
120
Pueblo, CO 81004-3877 - Phone
- (719) 561-5264
- Fax
- (719) 561-5272
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 62034 | CO | Primary |
Addresses
Primary practice location
3426 Lake Ave
120
Pueblo, CO 81004-3877
Mailing address
3426 Lake Ave
120
Pueblo, CO 81004-3877
Phone (719) 561-5264
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62034 | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1306861216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3426 LAKE AVE",
"address_2": "120",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043877",
"telephone_number": "719-561-5264",
"fax_number": "719-561-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3426 LAKE AVE",
"address_2": "120",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043877",
"telephone_number": "719-561-5264",
"fax_number": "719-561-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "BONNIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "62034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.