Individual provider Active NPI

Jonathan P Banet, RN

  • Psychiatric/Mental Health Registered Nurse
  • Highlands Ranch, CO
National Provider Identifier
1467844845
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN.1638316 Issued in CO
Practice address
9139 Ridgeline Blvd
Highlands Ranch, CO 80129-2333
Phone
(303) 471-7700
NPI assigned
Feb 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 201407085RN OR
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.1638316 CO Primary

Addresses

Primary practice location

9139 Ridgeline Blvd
Highlands Ranch, CO 80129-2333

Mailing address

1027 E. Burnside St.
Portland, OR 97214
Phone (503) 239-8400

Other practice location 1

1030 NE Couch St.
Portland, OR 97232
Phone (503) 239-8400

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201407085RNORMDAddiction (Substance Use Disorder) Registered Nurse
RN.1638316COMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services Past Accepting new patients
Coda, Inc. PastSince Feb 9, 2020 Accepting new patients
University Professional Services Past Accepting new patients
Coda, Inc. PastSince Aug 13, 2019 Accepting new patients

Organizations & group practices 4

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": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1467844845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E. BURNSIDE ST.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-239-8400",
            "fax_number": "503-269-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9139 RIDGELINE BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292333",
            "telephone_number": "303-471-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 NE Couch St.",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97232",
            "country_code": "US",
            "telephone_number": "503-239-8400",
            "fax_number": "503-239-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANET",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "201407085RN",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RN.1638316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.