Individual provider Active NPI

Gina Ann Bogdanich, RN

  • Registered Nurse
  • Salt Lake City, UT
National Provider Identifier
1447168570
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
5059073-3102 Issued in UT
Practice address
1890 S Nevada St
Salt Lake City, UT 84108-3059
Phone
(801) 560-9495
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 5059073-3102 UT Primary

Addresses

Primary practice location

1890 S Nevada St
Salt Lake City, UT 84108-3059

Mailing address

1890 E Nevada St
Salt Lake City, UT 84108-3059
Phone (801) 560-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1447168570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 E NEVADA ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841083059",
            "telephone_number": "801-560-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S NEVADA ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841083059",
            "telephone_number": "801-560-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANICH",
        "first_name": "GINA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "5059073-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.