Bonnie Blevins, R.N.
Individual provider Active NPI Clinical Nurse Specialist · Branson, MO
NPI 1992894331 · NPPES record last updated Dec 20, 2013
Key facts
- NPI
- 1992894331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Nurse Specialist 364S00000X
- License
- 309-001816 (IL)
- Practice address
- 1150 State Highway 248
Suite 200
Branson, MO 65616-3758 - Phone
- (417) 336-4112
- Fax
- (417) 335-4684
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309-001816 | IL | MD | Clinical Nurse Specialist |
Interoperability endpoints
- bonnie.blevins@cernerdirect.coxhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 309-001816 | IL | Yes |
Addresses
Primary practice location
1150 State Highway 248
Suite 200
Branson, MO 65616-3758
Mailing address
1150 State Highway 248 Ste 200
Branson, MO 65616-4186
Phone (417) 336-4112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041-220150 | Other | ILLINOIS LICENSE |
Other providers in Branson, MO
- Nathan L Berbereia
- John Andrew Berg
- Wayne E Berkbigler
- Emma P Bise
- Tenille Rene Blair-Neff
- Elena Bloomquist
- Bluebird Care Group LLC
- Hannah Caroline Boehler
- Catherine Lea Boling
- Lance Hamilton Borup
All providers in Branson, MO · Clinical Nurse Specialist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.