DR. CATHERINE JOHNSON BOGOLUB (NPI# 1801106067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801106067 |
Entity Type | Individual |
Full Name | DR. CATHERINE JOHNSON BOGOLUB |
Credential | M.D. , M.S. |
Practice Address |
1424 Lincoln Ave Saint Paul MN 55105-2216 |
Practice Telephone | 6514706135 |
Practice Fax Number | 6513440445 |
Mailing Telephone | 6514706135 |
Mailing Fax Number | 6513440445 |
Enumeration Date | 2010-10-20 |
Last Update Date | 2010-10-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133N00000X | Nutritionist | N198 | MN | Dietary & Nutritional Service Providers |
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
N198 | MN | Dietary & Nutritional Service Providers |
Street Address |
1424 LINCOLN AVE |
City | SAINT PAUL |
State | MN |
Zip Code | 55105-2216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
Find all providers in zip 55105 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689953143 | Patrick A Tschida | Nutritionist | 1573 Arundel St, Suite 204, Saint Paul, MN 55117-3596 | 2011-08-15 |
1780811323 | Howard County Medical Center | Nutritionist | 1113 Sherman St, Saint Paul, NE 68873 | 2009-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275083354 | Rebecka Hagen | Nutritionist | 20685 Lynn Dr, Prior Lake, MN 55372-9758 | 2016-10-12 |
1245780931 | Joy Johnson | Nutritionist | 7863 Jorgensen Ave S, Cottage Grove, MN 55016-5240 | 2016-10-06 |
1912388067 | Marcie Michelle Vaske | Nutritionist | 2392 Harvest Way, Chanhassen, MN 55317-8444 | 2015-06-15 |
1801211586 | Jillyne Bobrowsky | Nutritionist | 8042 Victoria Drive, Victoria, MN 55386 | 2014-03-04 |
1124239843 | Dorie Marian Buck | Nutritionist | 720 Spruce St Ne, Hutchinson, MN 55350-1260 | 2007-05-24 |
1154497634 | Michelle R. Didio | Nutritionist | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2006-11-28 |
1871909242 | Tiffany Flaten | Nutritionist | 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330-6604 | 2014-07-07 |
1538403365 | Youth Determined To Succeed | Nutritionist | 3333 N 4th St, Minneapolis, MN 55412-2615 | 2012-11-16 |
1609173319 | Pamela Wales | Nutritionist | 1501 Broadway St, Alexandria, MN 56308-2537 | 2011-02-15 |
1265757546 | Maureen Mary Nagle | Nutritionist | 8200 Humboldt Ave S, Suite 301, Bloomington, MN 55431-1433 | 2010-03-30 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55105 |
Please comment or provide details below to improve the information on DR. CATHERINE JOHNSON BOGOLUB.
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.