COURTNEY BOGGS (NPI# 1861844037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861844037 |
| Entity Type | Individual |
| Full Name | COURTNEY BOGGS |
| Practice Address |
2500 N Detroit St Lagrange IN 46761-1158 |
| Mailing Address |
Po Box 236 Lagrange IN 46761-0236 |
| Practice Telephone | 2604632133 |
| Practice Fax Number | 2604633775 |
| Mailing Telephone | 2604632133 |
| Mailing Fax Number | 2604633775 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006343A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499942 | Courtney Mae Boggs | Behavior Technician | 1563 Kingsley Ave Ste 103, Orange Park, FL 32073-4503 | 2019-07-23 |
| 1558844605 | Courtney Boggs | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2018-09-13 |
| 1659609170 | Courtney Lynette Boggs | Nurse Practitioner | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2009-11-20 |
| Street Address |
2500 N DETROIT ST |
| City | LAGRANGE |
| State | IN |
| Zip Code | 46761-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518500 | Northeast Internal Medicine Associates,p.c | Internal Medicine | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2005-09-12 |
| 1447894639 | Taylor Abigail Smyth | Physician Assistant | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2019-10-31 |
| 1821644659 | Heather Kaye Fox | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2019-08-16 |
| 1700430527 | Brittney M Harmeyer | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2019-07-30 |
| 1578054193 | Megan Marie Buuck | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2018-05-21 |
| 1114449329 | Lauren Fiandt | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-10 |
| 1073034500 | Amber N Handshoe | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-06 |
| 1962941054 | Carole S Buchs | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-02-22 |
| 1801249834 | Eleonor Vanover | Physician Assistant | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2016-07-14 |
| 1558712646 | Elizabeth R. Burkhart | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1134775554 | Kristy Jo Roth | Pharmacist | 0975n 00 Ew, Lagrange, IN 46761 | 2019-08-12 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
| 1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
| Find all providers in zip 46761 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959001 | Amy Elizabeth Robinson | Nurse Practitioner | 2169 W Point Rd, Lagrange, GA 30240-4002 | 2020-07-20 |
| 1144859224 | Jamie Danielle Oubre | Nurse Practitioner | 3335 Hamilton Rd, Lagrange, GA 30241-8716 | 2020-04-02 |
| 1538705694 | Jennifer Costello | Nurse Practitioner | 336 Forest St, Lagrange, OH 44050-9685 | 2019-11-25 |
| 1184288920 | Michelle Denise Mcmickin | Nurse Practitioner | 52 Woodmont Dr, Lagrange, GA 30241-7703 | 2019-04-26 |
| 1407333115 | Tiffany Brush | Nurse Practitioner | 1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 | 2018-07-25 |
| 1326491663 | Jennifer Cline Taunton | Nurse Practitioner | 110 Kildare Ct, Lagrange, GA 30240-9583 | 2016-07-21 |
| 1285064931 | Sj &j Medical Group and Urgent Care | Nurse Practitioner | 304 Smith St, Lagrange, GA 30240-2746 | 2013-11-16 |
| 1700226107 | Jessica Marie Harrison | Nurse Practitioner | 102 Main St Ste 204, Lagrange, GA 30240-3225 | 2013-06-28 |
| 1659691848 | Janet L Cox | Nurse Practitioner | 1786 Commerce Pkwy, Lagrange, KY 40031-8786 | 2010-06-10 |
| 1801128459 | Stephanie White | Nurse Practitioner | 1075 Lafayette Pkwy Ste 210, Lagrange, GA 30241-3733 | 2010-02-08 |
| Find all providers in LAGRANGE | ||||
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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.