Geraldine Bogdan, CNS, NP

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

R029424 Issued in ME

Practice address

932 Congress St
Portland, ME 04102-3032

Phone

(207) 662-3005

Fax

(207) 662-3863

NPI assigned

Nov 8, 2006

Last updated

Dec 16, 2011By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1336218684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023032",
            "telephone_number": "207-662-3005",
            "fax_number": "207-662-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023032",
            "telephone_number": "207-662-3005",
            "fax_number": "207-662-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "GERALDINE",
        "credential": "CNS, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ME",
            "license": "R029424",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ME",
            "license": "R029424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER NO.",
            "identifier": "432078399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Boedeker
• Charles Russell Boehm, RN
• Lauren Nicole Boehm, MD
• Annabel C Boeke, MD
• Adrienne Bogardus, OTR
• Rickie Mackenzie Bogle, LMT
• Jennifer E Bogus, ND
• Mary Reap Bohan, LMT
• Michael Stephen Bohanske, M.D.
• Patricia A. Bohner, LCSW

• Psychiatric/Mental Health Clinical Nurse Specialist in Portland, ME
• Providers in Portland, ME by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.