Individual provider Active NPI

Bonnie Taxman

  • Social Worker
  • Lafayette, CO
National Provider Identifier
1346727021
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW.09925340 Issued in CO
Practice address
300 Exempla Cir Ste 420
Lafayette, CO 80026-3496
Phone
(720) 565-6101
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW.09925340 CO Primary

Addresses

Primary practice location

300 Exempla Cir Ste 420
Lafayette, CO 80026-3496

Mailing address

300 Exempla Cir Ste 420
Lafayette, CO 80026-3496
Phone (720) 565-6101

Other identifiers 1

IdentifierTypeStateIssuer
CSW.09925340OtherSTATE OF COLORADO

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

State licenses

LicenseStateTypeSpecialty
CSW.09925340COMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1346727021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR STE 420",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263496",
            "telephone_number": "720-565-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR STE 420",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263496",
            "telephone_number": "720-565-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAXMAN",
        "first_name": "BONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "CSW.09925340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "CSW.09925340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.