Active NPI
Bonnie L. Crozier, P.A.
- Physician Assistant
- Fort Duchesne, UT
National Provider Identifier
1487615134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1014691206
- Practice address
- 6822 East 1000 South
Fort Duchesne, UT 84026 - Phone
- (435) 725-6874
- Fax
- (435) 725-6889
- NPI assigned
- Mar 31, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1014691206 | UT | Primary |
Addresses
Primary practice location
6822 East 1000 South
Fort Duchesne, UT 84026
Mailing address
6822 East 1000 South
Fort Duchesne, UT 84026
Phone (435) 725-6874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700000000009 | Medicaid | UT | |
| H1232 | Medicaid | NM |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1014691206 | UT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1487615134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6822 EAST 1000 SOUTH",
"city": "FORT DUCHESNE",
"state": "UT",
"postal_code": "84026",
"telephone_number": "435-725-6874",
"fax_number": "435-725-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6822 EAST 1000 SOUTH",
"city": "FORT DUCHESNE",
"state": "UT",
"postal_code": "84026",
"telephone_number": "435-725-6874",
"fax_number": "435-725-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROZIER",
"first_name": "BONNIE",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "1014691206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700000000009",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H1232",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Duchesne, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.