Estella Ann Boger, GNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R25076 Issued in ND

Practice address

1000 S Columbia Rd
Grand Forks, ND 58201-4032

Phone

(701) 780-5000

NPI assigned

Jul 15, 2006

Last updated

Jul 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1003833435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CHERRY ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015549",
            "telephone_number": "701-238-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014032",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGER",
        "first_name": "ESTELLA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ND",
            "license": "R25076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie J Boe, LCSW
• Chad E Boen, CRNA
• Kari Elizabeth Boese, PT
• Terra L Boettcher, OD
• Jodi R Boettner, PT
• Ashlei Bogert, LMSW
• Kayla Mae Bolden, CASE MANAGER, CNA
• Julie Anne Bolduc, CRNA
• Megan Elizabeth Bolek, PT, DPT, L.AC
• Lindsey Bolin

• Gerontology Nurse Practitioner in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Gerontology Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.