Active NPI
Bonnie Jo Bohn, CRT,CPFT
- Pulmonary Diagnostics Certified Respiratory Therapist
- Leavenworth, KS
National Provider Identifier
1912419847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Diagnostics Certified Respiratory Therapist
- License
- 16-02473
- Practice address
- 4101 S 4TH St
Leavenworth, KS 66048-5014 - Phone
- (913) 682-2000
- Fax
- (913) 758-9606
- NPI assigned
- Nov 1, 2017
- Last updated
- Nov 1, 2017
- 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 |
|---|---|---|---|---|
| Pulmonary Diagnostics Certified Respiratory Therapist | 2278P1004X | 16-02473 | KS | Primary |
Addresses
Primary practice location
4101 S 4TH St
Leavenworth, KS 66048-5014
Mailing address
15443 Belmont CT
Basehor, KS 66007-3048
Phone (913) 522-9843
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-02473 | KS | MD | Pulmonary Diagnostics Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1912419847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15443 BELMONT CT",
"city": "BASEHOR",
"state": "KS",
"postal_code": "660073048",
"telephone_number": "913-522-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 S 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485014",
"telephone_number": "913-682-2000",
"fax_number": "913-758-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "BONNIE",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "CRT,CPFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-01",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2278P1004X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
"state": "KS",
"license": "16-02473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.