Acorn Developmental Neurology

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

ACORN DEVELOPMENTAL NEUROLOGY

Practice address

735 Dakota LN
Erie, CO 80516

Phone

(303) 834-7633

NPI assigned

Aug 16, 2023

Last updated

Aug 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monica Bolano Proud, MD

Title

Physician

Phone

(281) 658-4829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1497538177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 DAKOTA LN",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "281-658-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 DAKOTA LN",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "303-834-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN DEVELOPMENTAL NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "PROUD",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "BOLANO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-658-4829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology with Special Qualifications in Child Neurology Physician in Erie, CO
• Providers in Erie, CO by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.