Kelli L Boggs, RN BSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

52718 Issued in WV

Practice address

411 North Hill Road
Braxton County Board of Education
Sutton, WV 26601

Phone

(304) 765-7101

Fax

(304) 765-7148

NPI assigned

Mar 31, 2008

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Braxton County Board of Education

  • Local Education Agency (LEA)
  • Sutton, WV
  • NPI 1255500096
  NPD (past)
• Braxton County Board of Education

  • Local Education Agency (LEA)
  • Sutton, WV
  • NPI 1821298563
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1013189059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 JETTSVILLE RD",
            "city": "LEIVASY",
            "state": "WV",
            "postal_code": "26676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NORTH HILL ROAD",
            "address_2": "BRAXTON COUNTY BOARD OF EDUCATION",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "26601",
            "telephone_number": "304-765-7101",
            "fax_number": "304-765-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "KELLI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "52718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Bender
• Katherine Marie Bennett
• Bio-Medical Applications of West Virginia, Inc.
• Racheal Blake
• Tammy Kay Blake
• Albert Lee Boley III
• Louise Boone
• Tawny Lynn Boyce
• Shanna Marie Bragg
• Teresa J Bragg

• All providers in Sutton, WV
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.