Marie Carolle Annie Banville, DNP-FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0999952-NP Issued in CO

Practice address

1220 26TH St
Boulder, CO 80302-6802

Phone

(970) 769-1324

NPI assigned

Aug 28, 2024

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

Medicare fee-for-service enrollment

Enrolled in MD, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marie.banville.1@14940.direct.athenahealth.com

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.

• Ydiprmc LLC

  • Urgent Care Clinic/Center
  • Salisbury, MD
  • NPI 1447783899
  Medicare reassignment NPD
• Goodness Health, LLC

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1609241264
  Medicare reassignment

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1669206199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 26TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026802",
            "telephone_number": "970-769-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 26TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026802",
            "telephone_number": "970-769-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANVILLE",
        "first_name": "MARIE CAROLLE ANNIE",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0999952-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather S Banks, MD
• Aviva Naomi Bannerman, LPC
• Sara Bannon, APNP
• Karen Bant-Kreutzer, ANP-C
• Tapan Bantawa, PHARMD
• Kristen Bara
• Sasha Barajas
• Linda Sims Baran, PH.D.
• Sarkis Barbarian
• Anthony S. Barber, D.O.

• Family Nurse Practitioner in Boulder, CO
• Providers in Boulder, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.