Elizabeth Sheldrick Bogle, CRNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-185998 Issued in AL

Practice address

4960 Corporate Dr NW Ste 135H
Huntsville, AL 35805-6215

Phone

(256) 265-7275

Fax

(256) 265-7267

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• HH Physician Care

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1144860123
  NPD
• Healthcare Authority of the City of Huntsville

  dba HH Physician Care at Bailey Cove

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1235434077
  NPD (past)

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1699506436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PEACH ORCHARD LN",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357573801",
            "telephone_number": "601-954-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 CORPORATE DR NW STE 135H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056215",
            "telephone_number": "256-265-7275",
            "fax_number": "256-265-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "ELIZABETH",
        "middle_name": "SHELDRICK",
        "name_prefix": "Mrs.",
        "credential": "CRNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-185998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bob Wallace Wellness and Rehab Center Inc
• Bobworks LLC (Bobworks Medical)
• Tonia P. Boddie, DNP
• Jennifer Boerner, M.S., CCC-SLP
• Gary Boggus
• Donna Montgomery Bogus, CRNP
• Frank William Bohlinger, CRNP
• Lyle G Bohlman, MD
• Tori Nicole Bolden
• Kiara Boler

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.