ANDREA BONNIN (NPI# 1386041598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386041598 |
| Entity Type | Individual |
| Full Name | ANDREA BONNIN |
| Practice Address |
2979 Allied St Ste C Green Bay WI 54304-5567 |
| Practice Telephone | 9203376740 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15931-131 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2979 ALLIED ST STE C |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669903266 | Amanda Jenerette | Counselor | 2979 Allied St Ste C, Green Bay, WI 54304-5567 | 2017-03-24 |
| 1063963494 | Tanya Hill | Registered Nurse | 2979 Allied St Ste C, Green Bay, WI 54304-5567 | 2016-10-20 |
| 1679945117 | Tiffany Young | Licensed Practical Nurse | 2979 Allied St Ste C, Green Bay, WI 54304-5567 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1821522889 | Wayne Borowitz | Counselor | 621 E Walnut St, Green Bay, WI 54301-4001 | 2017-04-17 |
| 1427421023 | Katie Koebernik | Counselor | 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 | 2015-11-04 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| 1790016467 | Deborah J Hauser | Counselor | 3150 Gershwin, Green Bay, WI 54311-5859 | 2010-01-20 |
| 1336372259 | Edwin A Chrisman | Counselor | 331 S Adams St, Green Bay, WI 54301-4515 | 2009-08-26 |
| 1457585614 | Adam Miles Sturdevant | Counselor | 1049 Dousman St, Green Bay, WI 54303-3003 | 2009-05-04 |
| 1659538361 | Regina E Cuellar-proctor | Counselor | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | 2008-05-20 |
| 1134390602 | Florence Annette Ninham | Counselor | 2460 W Point Rd, Green Bay, WI 54304-1443 | 2008-03-12 |
| Find all providers in GREEN BAY | ||||
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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.