Norma Jean Bocanegra

Primary specialty

DriverTaxonomy code 172A00000X

License

054382257 Issued in GA

Practice address

103 W Peachtree St
Rossville, GA 30741-1850

Phone

(423) 280-4374

NPI assigned

Jan 25, 2019

Last updated

Jan 25, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Njbtransportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Rossville, GA
  • NPI 1235695131
  NPD (past) Authorized official

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1477017283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W PEACHTREE ST",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411850",
            "telephone_number": "423-280-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W PEACHTREE ST",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411850",
            "telephone_number": "423-280-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "NORMA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "GA",
            "license": "054382257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Health Chiropractic, LLC
• Amy R Bennett, RN, IBCLC
• Katelynn Saleen Bettis
• Bi-Lo Pharmacy
• Patricia Blackburn, LCSW
• Morgan Janan Bradford, RN
• Steven Joe Bradley, D. O.
• Beverly H Brady
• Bretts Shoes and Vanity Fair (bretts shoes)
• Emily Breanna Brock, CADC1

• Driver in Rossville, GA
• Providers in Rossville, GA by specialty
• Driver in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.