Individual provider Active NPI

Bonnie Reigh Glover

  • Family Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1972152171
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0994442 Issued in CO
Practice address
13500 E Fremont Ave
Englewood, CO 80112-4254
Phone
(303) 768-7529
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0994442 CO Primary

Addresses

Primary practice location

13500 E Fremont Ave
Englewood, CO 80112-4254

Mailing address

13500 E Fremont Ave
Englewood, CO 80112-4254
Phone (303) 768-7529

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bonnie.glover@state.co.gov

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

LicenseStateTypeSpecialty
0994442COMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1972152171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 E FREMONT AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124254",
            "telephone_number": "303-768-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 E FREMONT AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124254",
            "telephone_number": "303-768-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "BONNIE",
        "middle_name": "REIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0994442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bonnie.glover@state.co.gov",
            "affiliation": "N",
            "address_1": "13500 E Fremont Ave",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801124254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.