Angeline Marie Boughner, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2316 S Cedar St
Lansing, MI 48910-3152

Phone

(517) 702-3508

NPI assigned

Feb 6, 2024

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

Practice roles

Interoperability endpoints

• Direct secure messaging: angeline.boughner.p1@direct.ichd.nextgenshare.com

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

• County of Ingham

  • Federally Qualified Health Center (FQHC)
  • Lansing, MI
  • NPI 1518339654
  NPD (past)

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1619730108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 WISE RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113411",
            "telephone_number": "517-243-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103152",
            "telephone_number": "517-702-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E Kalamazoo St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489122701",
            "country_code": "US",
            "telephone_number": "517-679-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 E Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489106818",
            "country_code": "US",
            "telephone_number": "517-244-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5303 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489113800",
            "country_code": "US",
            "telephone_number": "517-887-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 Marshall St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489122309",
            "country_code": "US",
            "telephone_number": "517-244-8014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121669",
            "country_code": "US",
            "telephone_number": "517-702-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Dahlia Dr Rm E315",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489113789",
            "country_code": "US",
            "telephone_number": "517-272-4115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 N Larch St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121283",
            "country_code": "US",
            "telephone_number": "514-887-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 N Fairview Ave Rm 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123129",
            "country_code": "US",
            "telephone_number": "517-887-4349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 McPherson Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489151760",
            "country_code": "US",
            "telephone_number": "517-244-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Stabler St Rm 7",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489104567",
            "country_code": "US",
            "telephone_number": "517-272-4104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUGHNER",
        "first_name": "ANGELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Bosak, O.D.
• Kathleen J Bosma, R.N.
• Jessica Marie Bostwick-Walker
• Marjorie T Bothwell Strickland
• Daniel Francis Bouchard, D.O.
• Casey Danielle Bougie
• Samar Marie Boulos, D.O.
• Manel Boumegouas, MD
• Corrie Bourdon, MS, CGC
• Alexandra Rae Bouren

• Community Health Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.