MS. MARILYN ANN BOOGAARD (NPI# 1548532211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548532211 |
| Entity Type | Individual |
| Full Name | MS. MARILYN ANN BOOGAARD |
| Credential | N.P. |
| Practice Address |
615 Cumberland St Lebanon PA 17042-5233 |
| Practice Telephone | 7172736741 |
| Practice Fax Number | 7172736337 |
| Mailing Telephone | 7172736741 |
| Mailing Fax Number | 7172736337 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2014-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
VP004036B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
615 CUMBERLAND ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647756 | Kathleen Jesiolowski | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2005-08-23 |
| 1417589458 | Stephannie Tamayo | Counselor | 615 Cumberland St, Lebanon, PA 17042-5233 | 2020-02-07 |
| 1275018160 | Sexual Assault Resource & Counseling Center of Lebanon & Sch | Social Worker | 615 Cumberland St, Lebanon, PA 17042-5233 | 2018-09-26 |
| 1134644180 | Mark Wayne Collins | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-08-11 |
| 1457871873 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-06-27 |
| 1780121822 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-01-27 |
| 1316308414 | Nakeeshia Essex Greene | Counselor | 615 Cumberland St, Lebanon, PA 17042 | 2016-03-16 |
| 1720342520 | Natalie Anne Wittes | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2012-06-27 |
| 1255428488 | Lebanon Family Health Service Inc. | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2006-10-09 |
| 1477567592 | Lisa S Gehenio | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1932716420 | Jessica Erb | Nurse Practitioner | 804 Holly Ln, Lebanon, PA 17042-9028 | 2020-09-28 |
| 1922619527 | Tammy Lynn Whitt | Nurse Practitioner | 961 Poor Farm Rd, Lebanon, VA 24266-7097 | 2020-08-17 |
| 1538777529 | Shenia Diane Johnson | Nurse Practitioner | 71 S. Flannagan Ave., Lebanon, VA 24266-2426 | 2020-07-16 |
| 1275158164 | Kelly Mcdaniel | Nurse Practitioner | 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 | 2020-06-16 |
| 1609498955 | Kelsey Jones | Nurse Practitioner | 1412 Nathaniel Dr, Lebanon, MO 65536-8906 | 2020-05-09 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1821642430 | Jill Montgomery Major | Nurse Practitioner | 135 Knights Brg, Lebanon, TN 37090-1410 | 2019-07-31 |
| Find all providers in LEBANON | ||||
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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.