Makenna Bogaard

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1777 Axtell Dr Ste 202
Troy, MI 48084-4435

Phone

(248) 594-3142

NPI assigned

Jun 8, 2022

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: mbogaard4194431@direct.beaumont.edu

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1235868951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR STE 202",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844435",
            "telephone_number": "248-594-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAARD",
        "first_name": "MAKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbogaard4194431@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1777 Axtell Dr Ste 202",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480844435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mary Frances-Louise Bochinski, CRNA
• Amy Feyer Bodway, PT
• Michael Patrick Bogg, CPSS
• Deborah Ann Bogle, M.A., C.A.A.C.
• Laurie Anne Bohdan, MS, LTDLLP
• Allison M. Bohne, PA
• Marianne Bohne, CRNA

• Registered Dietitian in Troy, MI
• Providers in Troy, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.