Roxanne Donna-Shea Bogalis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P5251927 Issued in FL

Practice address

14530 Callen Glen Way
Wimauma, FL 33598-6180

Phone

(941) 769-1650

NPI assigned

Jan 18, 2019

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1285108548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14530 CALLEN GLEN WAY",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986180",
            "telephone_number": "941-769-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14530 CALLEN GLEN WAY",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986180",
            "telephone_number": "941-769-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGALIS",
        "first_name": "ROXANNE",
        "middle_name": "DONNA-SHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "P5251927",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beausejour & Adams Counseling Service
• Herlene Beausejour-Bell, LCSW
• Shannon Benavidez
• Anacarolina Berben, B.S.
• Venus Raven Beulah, LMHC
• Davisharn Junior Buckshon, MD
• Daniel Button, MS, IMFT
• Emma Jean Cahoon, RN
• Joseph Callahan, LPN (MILITARY MEDIC)
• Marcus William Campbell, PHARM.D.

• Licensed Practical Nurse in Wimauma, FL
• Providers in Wimauma, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.