Elizabeth Bordogna

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5974 Jarmans Gap Rd
Crozet, VA 22932-3340

Phone

(434) 202-4080

NPI assigned

Jun 7, 2022

Last updated

Jun 7, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Amanda Sovik-Johnston

  dba Active & Connected Family Therapy

  • Mental Health Counselor
  • Charlottesville, VA
  • NPI 1821867524
  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1093444929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 EDNAM DR STE 104",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034629",
            "telephone_number": "434-202-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 JARMANS GAP RD",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323340",
            "telephone_number": "434-202-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDOGNA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbordogna@virginiafamilytherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5974 Jarmans Gap Rd",
            "city": "Crozet",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229323340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Allen
• Bettina L. Andersen, PT
• Morganne Tamsen Ashlie, M.S.
• Hope Warren Atkins, MSW
• Ann Bohr Benner, LCSW
• George Boudouris, PSYD
• Tamika Braveheart
• Breathe Easy in Home Health Care Company
• Erin Budesheim
• Judy L Cabinian, P.T.

• Student in an Organized Health Care Education/Training Program in Crozet, VA
• Providers in Crozet, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.