Individual provider Active NPI

Bonnie Bend, MT

  • Specialist
  • Fort Collins, CO
National Provider Identifier
1912140773
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
3938 John F Kennedy Pkwy
Suite F-11
Fort Collins, CO 80525-3086
Phone
(970) 204-0516
Fax
(970) 204-6812
NPI assigned
Apr 9, 2009
Last updated
Apr 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3938 John F Kennedy Pkwy
Suite F-11
Fort Collins, CO 80525-3086

Mailing address

2318 Tanglewood Dr
Fort Collins, CO 80525-1953
Phone (970) 482-6678

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
Credentials
Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1912140773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 TANGLEWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251953",
            "telephone_number": "970-482-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 JOHN F KENNEDY PKWY",
            "address_2": "SUITE F-11",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253086",
            "telephone_number": "970-204-0516",
            "fax_number": "970-204-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEND",
        "first_name": "BONNIE",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.