Individual
MRS. DONNA M BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5152
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066615
MEDICARE GROUP #
CO
05
—
50272357
—
CO
01
—
86723251
MEDICAID PRACTICE GROUP #
CO
Enumeration date
11/09/2005
Last updated
05/21/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up