Individual provider Active NPI

Rachel Leigh Bonoan, NP

  • Primary Care Nurse Practitioner
  • Arvada, CO
National Provider Identifier
1336864602
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN.0995965-N Issued in CO
Practice address
6715 W 56TH Ave # 14-209
Arvada, CO 80002-3215
Phone
(216) 870-7651
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN.0995965-N CO Primary

Addresses

Primary practice location

6715 W 56TH Ave # 14-209
Arvada, CO 80002-3215

Mailing address

14621 Westland Ave
Cleveland, OH 44111-1348
Phone (216) 870-7651

Other practice location 1

14621 Westland Ave
Cleveland, OH 44111-1348
Phone (216) 870-7651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230810002440 OH Practitioner - Nurse Practitioner 5597127399 Reassigns benefits to 1 organization
I20240409001545 CO Practitioner - Nurse Practitioner 5597127399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0995965-NCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jun 28, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 15, 2024 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Mar 2, 2024 Accepting new patients

Locations

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1336864602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 WESTLAND AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111348",
            "telephone_number": "216-870-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 W 56TH AVE # 14-209",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023215",
            "telephone_number": "216-870-7651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14621 Westland Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441111348",
            "country_code": "US",
            "telephone_number": "216-870-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONOAN",
        "first_name": "RACHEL",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.0995965-N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.