Bridgette Bogle-Davenport – Counselor

Key facts

NPI: 1477976231
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
Practice address: 284 Winchester Hwy
Hillsboro, TN 37342-3561
Phone: (931) 596-3790
NPI assigned: Jan 30, 2014
Sex: Female
Sole proprietor: No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X			Yes

Addresses

Primary practice location

284 Winchester Hwy
Hillsboro, TN 37342-3561

Mailing address

284 Winchester Hwy
Hillsboro, TN 37342-3561
Phone (931) 596-3790

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2014.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1477976231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 WINCHESTER HWY",
            "city": "HILLSBORO",
            "state": "TN",
            "postal_code": "373423561",
            "telephone_number": "931-596-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 WINCHESTER HWY",
            "city": "HILLSBORO",
            "state": "TN",
            "postal_code": "373423561",
            "telephone_number": "931-596-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE-DAVENPORT",
        "first_name": "BRIDGETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, TN

All providers in Hillsboro, TN · Counselor in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.