JOHN RYAN BOHANNAN
NPI 1780430520
Peer Specialist in Boulder, CO

Active since April 24, 2024
1000 ALPINE AVE, BOULDER, CO 80304(303) 443-8500 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Ryan Bohannan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN RYAN BOHANNAN (NPI 1780430520) is an individual peer specialist in Boulder, Colorado and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1780430520
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOHN RYAN BOHANNAN
Location Address1000 ALPINE AVEBoulder, CO 80304-3406
Mailing Address1000 Alpine AveBoulder, CO 80304-3406 · (303) 443-8500
Sole ProprietorNo
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
NPI 1780430520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

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.

1000 ALPINE AVE, Boulder, CO 80304

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1000 ALPINE AVE
BOULDER, CO 80304
Family Medicine
1000 ALPINE AVE, #220
BOULDER, CO 80304
Dermatology
1000 ALPINE AVE, #50
BOULDER, CO 80304
Surgery
1000 ALPINE AVE, SUITE 210
BOULDER, CO 80304
Pharmacy
1000 ALPINE AVE, STE 60
BOULDER, CO 80304
Dermatology
1000 ALPINE AVE, #50
BOULDER, CO 80304
Family Medicine
1000 ALPINE AVE, STE 260
BOULDER, CO 80304
Physical Therapist
1000 ALPINE AVE, #200
BOULDER, CO 80304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780430520, enumerated as an "individual" on April 24, 2024.

The provider is located at 1000 ALPINE AVE BOULDER, CO 80304 and the phone number is (303) 443-8500.

Peer Specialist with taxonomy code 175T00000X.