Genei S Bougher, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN 2565762 Issued in FL

Practice address

400 Gulf Breeze Pkwy
Suite 300
Gulf Breeze, FL 32561-4495

Phone

(850) 932-5055

Fax

(850) 932-1404

NPI assigned

Aug 10, 2005

Last updated

Dec 29, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1063414092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GULF BREEZE PKWY",
            "address_2": "SUITE 300",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614495",
            "telephone_number": "850-932-5055",
            "fax_number": "850-932-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GULF BREEZE PKWY",
            "address_2": "SUITE 300",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614495",
            "telephone_number": "850-932-5055",
            "fax_number": "850-932-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUGHER",
        "first_name": "GENEI",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "RN 2565762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302858500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger Christina Bogan
• Douglas E Boler, M.D.
• Joel Boles
• Joseph Scott Booker, DMD
• I. Marie Booth, D.C.
• Daniel J Bourassa, DC PHD
• Traci Bourgeois, M.D.
• Brandy J. Boutin
• Christopher Bowman
• Sean Branch, D.O.

• Pediatric Nurse Practitioner in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.