Active NPI
Bonita S. Harkins, FNP
- Family Nurse Practitioner
- Northglenn, CO
National Provider Identifier
1801956677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4087
- Practice address
- 10465 Melody Dr
# 306
Northglenn, CO 80234 - Phone
- (303) 450-8214
- Fax
- (303) 450-8218
- NPI assigned
- Dec 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 109556 | CO | |
| Family Nurse Practitioner | 363LF0000X | 4087 | CO | Primary |
Addresses
Primary practice location
10465 Melody Dr
# 306
Northglenn, CO 80234
Mailing address
13761 Columbine St
Thornton, CO 80602-7250
Phone (720) 732-0223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26302268 | Medicaid | CO | |
| FRA618006 | Other | CO | BC-BS-GROUP |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4087 | CO | MD | Chiropractor |
| 109556 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Center for Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Northglenn, CO
- NPI 1457411241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1801956677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13761 COLUMBINE ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027250",
"telephone_number": "720-732-0223",
"fax_number": "303-659-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10465 MELODY DR",
"address_2": "# 306",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "80234",
"telephone_number": "303-450-8214",
"fax_number": "303-450-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKINS",
"first_name": "BONITA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "109556",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "4087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26302268",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS-GROUP",
"identifier": "FRA618006",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.