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

Last updated

Feb 6, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Ingham

  dba Forest Community Health Center

  • 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": "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"
        },
        {
            "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": "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": "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": "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": "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": "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": "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": "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"
        }
    ],
    "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.