SARA BANNON APNP NPI 1174803092

NPI Information

  • NPI: 1174803092
  • Provider Name: SARA BANNON, APNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1900 WARDENBURG DRIVE
    BOULDER, CO
    ZIP 80309
  • Phone: (303) 492-2277

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NPI Details

Sara Bannon, APNP is a psychiatric/mental health nurse practitioner in Boulder, CO. Sara Bannon, APNP NPI is 1174803092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 WARDENBURG DRIVE
BOULDER, CO
ZIP 80309-365
Phone: (303) 492-2277

The NPI 1174803092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2011 and was last updated on 10/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthC-APN.0001798-C-NPCOLORADOYes
21041C0700XSocial WorkerClinicalLSW.0000000432COLORADONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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