LISA K BOGAN (NPI# 1457330979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457330979 |
| Entity Type | Individual |
| Full Name | LISA K BOGAN |
| Credential | OTR, CHT, CLT-LANA |
| Practice Address |
620 John Paul Jones Cir Naval Medical Center Portsmouth Occupational Therapy Portsmouth VA 23708-2111 |
| Mailing Address |
155 Maryland Ave Portsmouth VA 23707-1507 |
| Practice Telephone | 7579535419 |
| Mailing Telephone | 7579535419 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
03864 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH OCCUPATIONAL THERAPY |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23708-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054840 | Debra Tooke Crowell | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2005-06-21 |
| 1659970424 | Jennifer T Birchwale | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-22 |
| 1861091985 | Carin Kimberly Teeters | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-20 |
| 1275130825 | Dartangion Pierre Walker | Dental Hygienist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-07 |
| 1750996054 | Kevin Wilfong | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-14 |
| 1598379901 | Paula Shepard | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-02 |
| 1578177234 | Rebekah Gunter | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-01 |
| 1225641863 | Dylan Quoc-chuong Vu | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-08-24 |
| 1467060111 | Ili Yuan | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-20 |
| 1750909172 | Marsades Ceasar | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
| 1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
| 1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
| 1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
| 1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
| Find all providers in zip 23708 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962541102 | Mary Ellen Shanley | Occupational Therapist | 150 Us Highway 1 Byp, Suite B, Portsmouth, NH 03801-5332 | 2007-02-05 |
| 1396816906 | Cindy Ann Lavigne | Occupational Therapist | 1900 Lafayette Rd, Suite C, Portsmouth, NH 03801-5679 | 2006-11-13 |
| 1437220076 | Procare Physical Therapy and Hand Center | Occupational Therapist | 150 Us Highway 1 Byp, Suite 1, Portsmouth, NH 03801-5332 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935262 | Corinne Nicole Kelly | Occupational Therapist | 14370 Lee Hwy Ste 104, Gainesville, VA 20155-4865 | 2018-09-08 |
| 1861997694 | Valley Hand Therapy | Occupational Therapist | 812 Amherst St Ste 101, Winchester, VA 22601-3344 | 2018-03-26 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1578983441 | Lan Van-buendia | Occupational Therapist | 7536 Gardner Park Dr, Suite 7536, Gainesville, VA 20155-3414 | 2014-04-18 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1790027696 | Jeanine Miller Adams | Occupational Therapist | 7536 Gardner Park Dr Ste 7536, Gainesville, VA 20155-3414 | 2013-03-19 |
| 1114137981 | Amy Anderson Siegel | Occupational Therapist | 450 Garrisonville Rd Ste 102, Stafford, VA 22554 | 2007-05-23 |
| 1073657953 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 320 Monticello Ave, Williamsburg, VA 23185-2834 | 2007-02-16 |
| 1073657938 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 667 Kingsborough Sq, #100, Chesapeake, VA 23320-4999 | 2007-02-16 |
| 1932243888 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 601 Thimble Shoals Blvd, #103, Newport News, VA 23606-2593 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23708 |
Please comment or provide details below to improve the information on LISA K BOGAN.
| 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.