Kelli Lynn Bogue, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000599 Issued in MI

Practice address

2027 4TH St
Jackson, MI 49203-4572

Phone

(517) 888-5055

Fax

(517) 888-5052

NPI assigned

Sep 27, 2011

Last updated

May 2, 2017By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kbogue546885@direct.hfhs.org

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.

• Community Hearing Center LLC

  dba Community Hearing Center

  • Hearing and Speech Clinic/Center
  • Jackson, MI
  • NPI 1568903185
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1154604064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034572",
            "telephone_number": "517-817-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034572",
            "telephone_number": "517-888-5055",
            "fax_number": "517-888-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUE",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000599",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "MI",
            "license": "1601000599",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "MI",
            "license": "1601000599",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas William Blume, MA LLPC
• Bobchi Inverciones L.L.C. (Tri-State Mobile Ultrasound)
• Nina Marie Bock, PA-C
• Aida Bodour, M.D.
• Jalen Kainick Bogan, M.A, LPC
• Kevin Scott Bohlen, PA-C
• Amber Lyn Bohnett-Smith, MA, LLPC, NCC
• Bok Medical Service
• Amanda Joyce Bolanowski, LLMSW
• Kristina Bolante, PT

• Audiologist in Jackson, MI
• Providers in Jackson, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.