MS. AVIVA NAOMI BANNERMAN (NPI# 1093323347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093323347 |
| Entity Type | Individual |
| Full Name | MS. AVIVA NAOMI BANNERMAN |
| Credential | LPC |
| Practice Address |
2299pearlst. Boulder CO 80302 |
| Mailing Address |
1166cherryvalerd Boulder CO 80303 |
| Practice Telephone | 9706730846 |
| Mailing Telephone | 2014077634 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0016065 | CO | Behavioral Health & Social Service Providers |
| Street Address |
2299PEARLST. |
| City | BOULDER |
| State | CO |
| Zip Code | 80302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| 1396150710 | Whitney Kitchell Smith | Dentist | 2700 Canyon Blvd, Ste 210, Boulder, CO 80302 | 2014-06-24 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558107 | Alec Farbman | Counselor | 1941 Pearl St Unit 202, Boulder, CO 80302-4467 | 2020-11-08 |
| 1942801378 | Chloe Sari Koeffler | Counselor | 2919 Valmont Rd Ste 209, Boulder, CO 80301-1350 | 2020-11-03 |
| 1114527660 | Anneva Noelle Knapp Garner | Counselor | 3363 Hickok Pl, Boulder, CO 80301-1984 | 2020-10-26 |
| 1215535828 | Emily Forse | Counselor | 1501 Yarmouth Ave Unit C-18, Boulder, CO 80304-0564 | 2020-10-15 |
| 1174121875 | Chris Cannon | Counselor | 3450 Hayden Pl Apt 3, Boulder, CO 80301-1929 | 2020-10-14 |
| 1992303911 | Riese Rose | Counselor | 4478 Hamilton Ct, Boulder, CO 80305-5554 | 2020-10-12 |
| 1477151728 | Karina Maria Tibble | Counselor | 5378 Sterling Dr # 1, Boulder, CO 80301-2351 | 2020-10-09 |
| 1902403538 | Brianna Kaylin Jones | Counselor | 2024 Goss St Apt 5, Boulder, CO 80302-6577 | 2020-10-06 |
| 1063029510 | Ryan O'millian | Counselor | 2919 Valmont Rd Ste 206, Boulder, CO 80301-1350 | 2020-09-29 |
| 1073123691 | Corinne Schuele | Counselor | 2299 Pearl St Ste 400a, Boulder, CO 80302-4673 | 2020-08-07 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.