What is Jaxon Bonanno's NPI number?

Jaxon Bonanno's National Provider Identifier (NPI) is 1548059314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jaxon Bonanno's specialty?

Jaxon Bonanno is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Jaxon Bonanno located?

Jaxon Bonanno's practice location on file with NPPES is 117 W 400 S, Salt Lake City, UT 84101-1916.

What is Jaxon Bonanno's phone number?

The practice phone number listed in the NPPES registry for Jaxon Bonanno is (801) 428-4257.

Is Jaxon Bonanno's NPI active?

Yes — Jaxon Bonanno's NPI (1548059314) is active in the NPPES registry as of the last update on 2025-05-06.

IndividualActive

Jaxon Bonanno

NPI 1548059314 · Community Health Worker · Salt Lake City, UT

Jaxon Bonanno is a Community Health Worker provider in Salt Lake City, UT (NPI 1548059314).

Provider details

NPI number: 1548059314
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

117 W 400 S

Salt Lake City, UT 84101-1916

Phone: (801) 428-4257

Street-level locationGet directions

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Mailing address