Individual provider Active NPI

Bonnie Blevins, R.N.

  • Clinical Nurse Specialist
  • Branson, MO
National Provider Identifier
1992894331
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
309-001816 Issued in 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
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 309-001816 IL Primary

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

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
309-001816ILMDClinical Nurse Specialist

Interoperability endpoints

  • Direct secure messaging: bonnie.blevins@cernerdirect.coxhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1992894331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 STATE HIGHWAY 248 STE 200",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164186",
            "telephone_number": "417-336-4112",
            "fax_number": "417-335-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 STATE HIGHWAY 248",
            "address_2": "SUITE 200",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163758",
            "telephone_number": "417-336-4112",
            "fax_number": "417-335-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "BONNIE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "309-001816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.