DANIELLE L. BOGUE (NPI# 1295062537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295062537 |
| Entity Type | Individual |
| Full Name | DANIELLE L. BOGUE |
| Other Name | DANIELLE L. AVETT |
| Credential | FNP-BC |
| Practice Address |
2 Terminal Dr Suite 8 East Alton IL 62024-2201 |
| Mailing Address |
220 E Us Highway 40 Suite 8 Troy IL 62294-2201 |
| Practice Telephone | 6182580485 |
| Practice Fax Number | 6182584815 |
| Mailing Telephone | 6182580485 |
| Mailing Fax Number | 6182584815 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209-007734 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 TERMINAL DR SUITE 8 |
| City | EAST ALTON |
| State | IL |
| Zip Code | 62024-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427099159 | Anupama Vallala | Pediatrics | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2006-06-10 |
| 1124473046 | Heidi Fields | Nurse Practitioner | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2016-04-28 |
| 1194148544 | Affiance Home Health Services, LLC | Home Health | 2 Terminal Dr, Suite 19, East Alton, IL 62024-2201 | 2014-01-21 |
| 1700194750 | Jacob Funk | Chiropractor | 2 Terminal Dr, Suite 15, East Alton, IL 62024-2268 | 2010-09-23 |
| 1780822734 | Gretchen D Jackson | Counselor | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2009-01-29 |
| 1154500254 | Nurses Station, P.C. | Registered Nurse | 2 Terminal Dr, Suite 1, East Alton, IL 62024-2201 | 2007-10-25 |
| 1518150481 | Anthony B Chin | Dentist | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2007-08-23 |
| 1053504506 | Nanthini Suthan | Internal Medicine | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2007-08-18 |
| 1750439279 | Sonia Marie Matthews | Obstetrics & Gynecology | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2007-01-08 |
| 1043368434 | Faccin Chiropractic, PC | Chiropractor | 2 Terminal Dr, Suite 8b, East Alton, IL 62024-2268 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326395153 | Leah Marie Nanney | Pharmacist | 550 W St Louis Avenue, East Alton, IL 62024 | 2012-08-10 |
| 1861681207 | M-lab Enterprises,ltd. | Chiropractor | 2 Termianl Dr. Ste. 15, East Alton, IL 62024 | 2007-10-22 |
| 1184846628 | Affordable Dentistry Today, PC | Dentist | 50 North Center Street, East Alton, IL 62024 | 2007-05-03 |
| 1386769255 | Sarah Crockett | Occupational Therapy Assistant | 8 Carmelita Drive, East Alton, IL 62024 | 2007-03-20 |
| 1922155886 | Ruth Cohen Kubicek | Social Worker | 9 Junction Drive West, Suite 2, Glen Carbon, IL 62024 | 2007-01-04 |
| 1952356578 | Andrew W Dykeman | Chiropractor | 33 East Airline Drive, East Alton, IL 62024 | 2006-05-23 |
| 1093771883 | Gateway Rehabilitation Company, LLC | Physical Therapist | 935 East Airline Dr, East Alton, IL 62024 | 2006-04-21 |
| 1265795025 | Tania Evans | Counselor | 211 N Shamrock St, East Alton, IL 62024-0016 | 2012-06-18 |
| 1114202280 | Dana Sue Livingston | Pharmacist | 550 W Saint Louis Ave, East Alton, IL 62024-1044 | 2011-10-19 |
| 1407259971 | Michelle Sawyer | Counselor | 515 Niagara St, East Alton, IL 62024-1087 | 2014-09-29 |
| Find all providers in zip 62024 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124473046 | Heidi Fields | Nurse Practitioner | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | EAST ALTON |
| Zip Code | 62024 |
Please comment or provide details below to improve the information on DANIELLE L. BOGUE.
| 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.