Penny Sue Bortz, RN, CNOR, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

0127210 Issued in CO

Practice address

1906 Blake Ave
Glenwood Springs, CO 81601-4259

Phone

(970) 384-7430

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1568949402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4159",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "816374159",
            "telephone_number": "970-376-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014259",
            "telephone_number": "970-384-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTZ",
        "first_name": "PENNY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN, CNOR, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CO",
            "license": "0127210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "00-305-1220",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas C Bohanon, DVM, MS, DIPL.ACVS
• Whitney Boland, L.AC.
• Kayla Borgan, DC
• Emily M Borkovec, PA-C
• Leanne Bornschlegel, C.M.T.
• Jolysa Bosco, DO
• Casey Bowen, ND
• Dina Bowers
• Betty Bowie, RN
• Barbara Boyles, RN NP

• Registered Nurse First Assistant in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Registered Nurse First Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.