Donna Montgomery Bogus, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1058433 Issued in AL

Practice address

1 Hospital Dr SW
Huntsville, AL 35801-6455

Phone

(256) 429-4000

Fax

(256) 325-6724

NPI assigned

Jan 29, 2007

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

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Nurse Practitioner

State licenses

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.

• Little River Pediatrics Inc

  • Pediatrics Physician
  • Muscle Shoals, AL
  • NPI 1154107951
  Medicare reassignment NPD
• Infants and Childrens Clinic PC

  • Pediatrics Physician
  • Florence, AL
  • NPI 1689685315
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1184760159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WEST COLLEGE ST",
            "address_2": "421 WEST COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-760-0670",
            "fax_number": "256-764-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016455",
            "telephone_number": "256-429-4000",
            "fax_number": "256-325-6724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 WEST COLLEGE ST",
            "address_purpose": "LOCATION",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "country_code": "US",
            "telephone_number": "256-760-0670",
            "fax_number": "256-764-1139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGUS",
        "first_name": "DONNA",
        "middle_name": "MONTGOMERY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1058433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobworks LLC (Bobworks Medical)
• Tonia P. Boddie, DNP
• Jennifer Boerner, M.S., CCC-SLP
• Gary Boggus
• Elizabeth Sheldrick Bogle, CRNP, FNP
• Frank William Bohlinger, CRNP
• Lyle G Bohlman, MD
• Tori Nicole Bolden
• Kiara Boler
• Ella Darice Boley

• Pediatric Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.