Peggy Maria Bodamer, RN

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

7337054-3102 Issued in UT

Practice address

5475 S 500 E
Ogden, UT 84405-6905

Phone

(801) 479-2560

Fax

(801) 479-2995

NPI assigned

Sep 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Peggy Maria Echeverria Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1083229504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056905",
            "telephone_number": "801-479-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056905",
            "telephone_number": "801-479-2560",
            "fax_number": "801-479-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODAMER",
        "first_name": "PEGGY",
        "middle_name": "MARIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "UT",
            "license": "73370543102",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "UT",
            "license": "7337054-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "ECHEVERRIA",
            "middle_name": "MARIA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlene Holbrook Blood, APRN
• Blue Skies Recovery Center
• Amy Blunck, CMHC
• Shelby Boam
• Stephanie Marie Bobka, FNP-C
• Jessica Bodily, MOT, OTR/L
• Tammy L. Bodine, CMHC
• Body Smart, P.C.
• Body Wellness
• Mindy M Boehm, MD

• Neonatal Intensive Care Registered Nurse in Ogden, UT
• Providers in Ogden, UT by specialty
• Neonatal Intensive Care Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.