Deandria Marie Bogart, R.N.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN0000100171 Issued in TN

Practice address

101Okolona Drive
Erwin, TN 37650

Phone

(423) 743-9103

Fax

(423) 743-9105

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By 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

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437218385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101OKOLONA DRIVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-743-9103",
            "fax_number": "423-743-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101OKOLONA DRIVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-743-9103",
            "fax_number": "423-743-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGART",
        "first_name": "DEANDRIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TN",
            "license": "RN0000100171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Medical Management Corporation (Ballad Health)
• Blue Ridge Medical Management Corporation (MSMG FP Im Erw)
• Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
• Blue Ridge Medical Management Corporation (DBA Heart & Vascular Group)
• Blue Ridge Medical Management Corporation (MSMG Hima Ucmh)
• Francisco E Borquez, PT
• James Alexander Bowden, MD
• Bradshaw Family Medical, LLC
• Brighter Day Home Care LLC (Brighter Days Home Care East)
• Sarah Buchanan, FNP

• Administrator Registered Nurse in Erwin, TN
• Providers in Erwin, TN by specialty
• Administrator Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.