Active NPI
Serephine Bonnell, CMT
- Massage Therapist
- Laramie, WY
National Provider Identifier
1659904290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 807 S 3Rd St
Laramie, WY 82070-4419 - Phone
- (307) 742-6840
- NPI assigned
- Feb 21, 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
807 S 3Rd St
Laramie, WY 82070-4419
Mailing address
715 Downey St Apt 3C
Laramie, WY 82072-1773
Phone (719) 251-6135
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | accc807@bresnan.net | Darren Bressler D.C., P.C. |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics of Steamboat Springs PC | Current | Accepting new patients | |
| Darren Bressler D.C., P.C. | Past | Accepting new patients |
Locations
807 S 3rd St
Laramie, WY 82070
Phone (307) 742-6840
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Steamboat Springs, CO
- NPI 1073538401
-
- Chiropractor
- Laramie, WY
- NPI 1225213127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1659904290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 DOWNEY ST APT 3C",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820721773",
"telephone_number": "719-251-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S 3RD ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820704419",
"telephone_number": "307-742-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNELL",
"first_name": "SEREPHINE",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2023-11-27",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "accc807@bresnan.net",
"affiliation": "Y",
"affiliationName": "Darren Bressler D.C., P.C.",
"address_1": "807 S 3rd St",
"city": "Laramie",
"state": "WY",
"country_code": "US",
"postal_code": "820704419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.