KEARA EMERALD CHEYENNE BOGART (NPI# 1215492376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215492376 |
Entity Type | Individual |
Full Name | KEARA EMERALD CHEYENNE BOGART |
Practice Address |
Troy University Troy AL 36082-0001 |
Mailing Address |
567 E Marigold Ave Defuniak Springs FL 32433-6520 |
Practice Telephone | 8505200350 |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-02-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
TROY UNIVERSITY |
City | TROY |
State | AL |
Zip Code | 36082-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750353082 | Elizabeth Mckinley Long | Nurse Practitioner | Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 | 2006-02-02 |
1154513984 | Diana Avery-montgomery | Specialist/Technologist | Troy University, 3230 Stadium Tower, Troy, AL 36082-0001 | 2007-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073031670 | Makayla Leigh Pickron | Specialist/Technologist | 3230 Stadium Tower, Troy, AL 36082 | 2017-09-03 |
1841755527 | Caleb Nelson Mcdonald | Student in an Organized Health Care Education/Training Program | 5000 Veterans Stadium Drive, Troy, AL 36082-0001 | 2019-02-06 |
1962967828 | Kimberly Shaw | Specialist/Technologist | 3202 Veterans Stadium Dr, Troy, AL 36082-0001 | 2019-02-05 |
1447611975 | Corey Carr | Specialist/Technologist | 3226 Veterans Memorial Stadium Dr, Troy, AL 36082-0001 | 2016-03-10 |
1831532050 | Troy Unitersity Student Health Center | Clinic/Center | Troy University Student Health Ctr, 1 Hamil Hall, Troy, AL 36082-0001 | 2013-04-08 |
1770834210 | Andrew Mcnally | Specialist | 3226 Veterans Stadium Dr, Troy, AL 36082-0001 | 2012-09-24 |
1861767410 | Troy University | Clinic/Center | 5000 Veterans Statium Dr, Troy, AL 36082-0001 | 2012-03-15 |
1932477916 | Whitney Marie Brack | Specialist/Technologist | 3230 Stadium Towers, Troy, AL 36082-0001 | 2011-12-06 |
1730315565 | Lori Jane Rackley | Specialist/Technologist | 3230 Stadium Tower Dr, Troy, AL 36082-0001 | 2009-06-08 |
1891906129 | Alyson Gramley | Specialist/Technologist | 3230 Stadium Tower, Troy University Athletic Training, Troy, AL 36082-0001 | 2007-05-25 |
Find all providers in zip 36082 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821604281 | Kaleigh Anne Higgins | Student in an Organized Health Care Education/Training Program | 10 Stoneledge Dr Apt 4, Troy, NY 12182-3513 | 2020-09-21 |
1497367585 | Raghuram Palepu | Student in an Organized Health Care Education/Training Program | 426 Tanner Dr., Troy, MI 48085-4808 | 2020-08-19 |
1699395145 | Bryan Bennett | Student in an Organized Health Care Education/Training Program | 813 Canton St, Troy, PA 16947-1452 | 2020-04-24 |
1659991107 | Pyo Jae Kim | Student in an Organized Health Care Education/Training Program | 805 Sandalwood Dr, Troy, MI 48085-1643 | 2020-04-24 |
1972122828 | Varsha Aravindabose | Student in an Organized Health Care Education/Training Program | 5586 Fawn Ct, Troy, MI 48098-2507 | 2020-04-10 |
1841755527 | Caleb Nelson Mcdonald | Student in an Organized Health Care Education/Training Program | 5000 Veterans Stadium Drive, Troy, AL 36082-0001 | 2019-02-06 |
1356888622 | Regina Wright | Student in an Organized Health Care Education/Training Program | 318 Arrowhead Dr, Troy, AL 36081-4406 | 2017-01-25 |
1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
1407212756 | Stacey Kyea | Student in an Organized Health Care Education/Training Program | 56 Biscayne Boulevard, Troy, NY 12182-1604 | 2015-12-31 |
1780075457 | Anthony Luke Zaki | Student in an Organized Health Care Education/Training Program | 541 Georgian Ct, Troy, MI 48098-1770 | 2015-02-16 |
Find all providers in TROY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.