WALTER ALBERT BOGUCKI (NPI# 1104259027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104259027 |
| Entity Type | Individual |
| Full Name | WALTER ALBERT BOGUCKI |
| Credential | CADC |
| Practice Address |
508 E Florida Ave Nampa ID 83686-5823 |
| Practice Telephone | 2084630118 |
| Practice Fax Number | 2084631507 |
| Mailing Telephone | 2084630118 |
| Mailing Fax Number | 2084631507 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10067 | ID | Behavioral Health & Social Service Providers |
| Street Address |
508 E FLORIDA AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356773618 | Port of Hope Centers, Inc | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2013-08-08 |
| 1326520719 | Jose Manuel Celedon | Nurse Practitioner | 508 E Florida Ave, Nampa, ID 83686-5823 | 2018-08-31 |
| 1235670258 | Jessica Novello | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2017-03-09 |
| 1154756237 | Gerald Picha | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2013-09-09 |
| 1093148694 | Linda Jacobs | Counselor | 508 E Florida Ave, Nampa, ID 83686-5823 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453509 | James Floyd Young | Counselor | 504 11th Ave S, Nampa, ID 83651-4243 | 2019-08-20 |
| 1194252536 | Rachel Oertel | Counselor | 1224 1st St S Ste 306, Nampa, ID 83651-3963 | 2017-05-16 |
| 1942630041 | Amy Cristina Kappel | Counselor | 3050 12th Ave Rd, Nampa, ID 83686 | 2013-11-26 |
| 1477986685 | Jolynn Tracy | Counselor | 508 E. Florida, Nampa, ID 83686-5823 | 2013-08-12 |
| 1689227878 | Heidi Lynn Rogers | Counselor | 847 Parkcentre Way, Nampa, ID 83651-1792 | 2019-07-17 |
| 1831756212 | Angelica Castillo | Counselor | 3050 12th Ave Rd, Nampa, ID 83686-8400 | 2019-05-21 |
| 1770044083 | Oscar Guerrero | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2019-03-28 |
| 1841714219 | Valerie Lynn Platt | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2017-07-27 |
| 1891246054 | Gail Ward | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2016-10-21 |
| 1245682376 | Jonna Clayton | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2016-07-13 |
| Find all providers in NAMPA | ||||
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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.