Active NPI
D'Lynn Boger, MHPP
- Case Manager/Care Coordinator
- Atkins, AR
National Provider Identifier
1245676071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1309 N Church St
Atkins, AR 72823-3230 - Phone
- (479) 641-0730
- Fax
- (479) 641-0732
- NPI assigned
- May 20, 2013
- Last updated
- May 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
1309 N Church St
Atkins, AR 72823-3230
Mailing address
1309 N Church St
Atkins, AR 72823-3230
Phone (479) 641-0730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxus Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1245676071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 N CHURCH ST",
"city": "ATKINS",
"state": "AR",
"postal_code": "728233230",
"telephone_number": "479-641-0730",
"fax_number": "479-641-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 N CHURCH ST",
"city": "ATKINS",
"state": "AR",
"postal_code": "728233230",
"telephone_number": "479-641-0730",
"fax_number": "479-641-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGER",
"first_name": "D'LYNN",
"credential": "MHPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atkins, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.