Devon Marie Bogdan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704371110 Issued in MI

Practice address

1421 Kingston Ave
Kalamazoo, MI 49001-5150

Phone

(269) 680-2290

NPI assigned

Apr 16, 2021

Last updated

Apr 16, 2021By the provider in NPPES

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

Other names 1

• Miss Devon Marie Mudget Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1336720861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 E CORK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 KINGSTON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015150",
            "telephone_number": "269-680-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "DEVON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704371110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "MUDGET",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jane Boekeloo, PT
• Michelle Boerigter, MD
• Boesky Chiropractic PLC
• Andrew Arlan Boesky, D.C.
• Skylar Annakay Bogard, BEHAVIOR TECHNICIAN
• Deborah Bohm, N.P.
• Taeler Bohm
• Bryon A Bohnet, OD
• Trent Bohrmann
• Amy Boileau, COUNSELOR

• Registered Nurse in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.