Laura Jane Boggess

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2005 Salisbury Way
Hurricane, WV 25526-8724

Phone

(304) 549-1323

NPI assigned

Jun 18, 2021

Last updated

Jun 18, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1568031185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SALISBURY WAY",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268724",
            "telephone_number": "304-549-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SALISBURY WAY",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268724",
            "telephone_number": "304-549-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGESS",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "954",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Blake
• Julie E Blake, M.A. CCC-SLP
• Kodey A Blankenship, DPT
• Molly Blethen, COTA/L
• Camryn Nicole Bloedel, RN
• Daniel Allen Boggs, D.C.
• Jennifer Boggs
• Callen Elizabeth Bostic
• Ciara Bostic, PHARMD
• Samantha Shayne Bostic, CRNA

• Psychologist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.