Telisha Boggan, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA200986 Issued in FL

Practice address

1992 Lewis Turner Blvd Ste 1067112
Fort Walton Beach, FL 32547-1255

Phone

(850) 296-2952

NPI assigned

Feb 21, 2022

Last updated

Feb 21, 2022By 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

State licenses

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1710632468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 LEWIS TURNER BLVD STE 1067112",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471255",
            "telephone_number": "850-296-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 LEWIS TURNER BLVD STE 1067112",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471255",
            "telephone_number": "850-296-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGAN",
        "first_name": "TELISHA",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA200986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence B. Blumberg, MD
• Rachel Anne Blythe, PHARMD
• Brian Keith Boelk, MSW
• Rebekah Elizabeth Boes, LMHC
• Elizabeth Johnson Boeve, RN
• Sheryl (Sherry) Whitman Boles, LMHC
• Wesley Boles, RN BSN MBA
• Lynda E Bolt, LMHC
• Sherry Bonner, RD
• Jason Redwood Boole, M.D.

• Nurse's Aide in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.