Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780430520 Individual Practitioner Male Practitioner

John Ryan Bohannan

Peer Specialist • Boulder, CO

Professional Overview & Biography Verified Profile Summary

John Bohannan is a registered healthcare professional specializing in Peer Specialist in Boulder, CO. Practice services are available at 1000 ALPINE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Alpine Ave

Boulder, CO 803043406

Telephone 3034438500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Boulder, CO (638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-24
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Guilherme Zavaschi

Counselor - Mental Health

NPI 1003190141
Regina Cannon , REGISTERED PSYCHOTHE

Counselor - Mental Health

NPI 1003202839

REGISTEREDPSYCHOTHE

Amanda Fielder

Counselor - Mental Health

NPI 1003208448
Clarissa Dubose

Social Worker

NPI 1003213018
Valerie Uilk

Counselor

NPI 1003220567
Blake Edmond

Counselor - Mental Health

NPI 1003288382

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 24, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2024

Registered at 1000 ALPINE AVE, BOULDER, CO 803043406 (Tel: 3034438500)

📍
Updated Business Mailing Address April 24, 2024

Registered at 1000 ALPINE AVE, BOULDER, CO 803043406 (Tel: 3034438500)

👤
Provider Name / Credentials Updated April 24, 2024

Recorded as JOHN BOHANNAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration April 24, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780430520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2024
Last Update: April 24, 2024
Sole Proprietor: No

Mailing Address

1000 Alpine Ave

Boulder, CO 803043406

Phone: 3034438500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.