Astra Bogardus, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

88534 Issued in HI

Practice address

69 Railroad Ave
Hilo, HI 96720-7509

Phone

(808) 935-2718

NPI assigned

Jul 28, 2019

Last updated

Jul 28, 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1679127757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492435",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967492435",
            "telephone_number": "808-769-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 RAILROAD AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207509",
            "telephone_number": "808-935-2718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967207509",
            "country_code": "US",
            "telephone_number": "808-935-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGARDUS",
        "first_name": "ASTRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "HI",
            "license": "88534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Registered Nurse in Hilo, HI
• Providers in Hilo, HI by specialty
• Community Health Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.