Active NPI
Denisse Heredia
- Social Worker
- Orem, UT
National Provider Identifier
1467064105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 879 S Orem Blvd Ste 1
Orem, UT 84058-5030 - Phone
- (801) 802-8608
- NPI assigned
- Aug 22, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | UT | Primary |
Addresses
Primary practice location
879 S Orem Blvd Ste 1
Orem, UT 84058-5030
Mailing address
738 S 170 W
Spanish Fork, UT 84660-4747
Phone (424) 731-6006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223222332 | Other | UT | STATE ID |
Other names 1
- Denisse Bonilla
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | den.bon0424@gmail.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598054400000",
"number": "1467064105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 S 170 W",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846604747",
"telephone_number": "424-731-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 S OREM BLVD STE 1",
"city": "OREM",
"state": "UT",
"postal_code": "840585030",
"telephone_number": "801-802-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEREDIA",
"first_name": "DENISSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-22",
"last_updated": "2020-08-22",
"certification_date": "2020-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "223222332",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "den.bon0424@gmail.com",
"affiliation": "N",
"address_1": "879 S Orem Blvd Ste 1",
"city": "Orem",
"state": "UT",
"country_code": "US",
"postal_code": "840585030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DENISSE",
"last_name": "BONILLA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.