SARA BANNON (NPI# 1174803092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174803092 |
| Entity Type | Individual |
| Full Name | SARA BANNON |
| Credential | APNP |
| Practice Address |
1900 Wardenburg Drive Boulder CO 80309-1365 |
| Mailing Address |
2600 S Rock Creek Pkwy Apt 23-101 Superior CO 80027-6096 |
| Practice Telephone | 3034922277 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LSW.0000000432 | CO | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
C-APN.0001798-C- | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6897 Paiute Ave Ste 5, Niwot, CO 805037169 | 3036524196 | |
| 650 S Komas Dr Ste 200, Salt Lake City, UT 841081241 | 8016716865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114209699 | Sara Lynn Bannon | Developmental Therapist | 19 Fairview Ter, Great Barrington, MA 01230-1264 | 2011-09-12 |
| Street Address |
1900 WARDENBURG DRIVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80309-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710086285 | Jennifer Walsh | Nurse Practitioner | 1900 Wardenburg Drive, Boulder, CO 80309-1309 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887331 | Christina Riseman | Speech-Language Pathologist | Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 | 2018-10-15 |
| 1942784228 | Janae Elise Bell | Specialist/Technologist | Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 | 2018-09-21 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1912217431 | Paul Calvert | Pharmacist | Campus Box 119, Boulder, CO 80309 | 2010-10-18 |
| 1568798536 | Brittany L Devoge | Pharmacist | 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 | 2009-10-27 |
| 1295968949 | Mya M Bethune | Counselor | 104 Ucb, Center for Community S440, Boulder, CO 80309 | 2009-08-28 |
| 1245479377 | Susan E Mead | Pharmacist | 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 | 2009-02-12 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1720446222 | University Physicians Incorporated | Orthopaedic Surgery | 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 | 2016-01-29 |
| Find all providers in zip 80309 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911907 | Ascent Mental Health | Nurse Practitioner | 5350 Manhattan Cir Ste 201, Boulder, CO 80303-4272 | 2020-01-14 |
| 1437709987 | Shadow Mountain Mental Health | Nurse Practitioner | 6658 Gunpark Dr Ste 201a, Boulder, CO 80301-3375 | 2019-09-17 |
| 1871151308 | Mountain Psychiatry | Nurse Practitioner | 1905 15th St Unit 489, Boulder, CO 80302-5413 | 2019-05-30 |
| 1083990121 | Lindsay Regnery Burke | Nurse Practitioner | 1621 16th St, Boulder, CO 80302-6325 | 2011-11-02 |
| 1750557385 | Linda Geralyn Buseman | Nurse Practitioner | Wardenburg Health Center Php, 119 Ucb, Boulder, CO 80309-0001 | 2008-05-04 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1982606521 | Karen Breunig Hine | Nurse Practitioner | 1333 Iris Ave, Boulder, CO 80304-2226 | 2005-08-12 |
| 1871139337 | Antonio Stone | Nurse Practitioner | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2019-11-20 |
| 1396390480 | Susan Renae Hudson | Nurse Practitioner | 5277 Manhattan Cir Ste 220, Boulder, CO 80303-8201 | 2019-08-06 |
| 1093134579 | Michelle Angela Fisher | Nurse Practitioner | 1155 Alpine Ave Ste 385, Boulder, CO 80304-3422 | 2014-04-10 |
| 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.