Bogard Family Therapy & Rehab

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3070 Issued in TN

Legal business name

BOGARD FAMILY THERAPY & REHAB

Practice address

949 Hwy 79
Dover, TN 37058-0949

Phone

(931) 232-5200

Fax

(931) 232-1120

NPI assigned

Feb 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer Lynn Spiceland Bogard, M.S., CCC-SLPNPI 1821278136

Title

Owner/SLP

Phone

(931) 232-5200

Specialties & licenses 1

Addresses

Other names 1

• Bogard Therapy & Rehab Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Spiceland Bogard, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Dover, TN
  • NPI 1821278136
  NPD (past) Authorized official
• Natasha Morgan Henry, MS, CCC-SLP

  • Speech-Language Pathologist
  • Dover, TN
  • NPI 1114178886
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1740468446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370580682",
            "telephone_number": "931-232-5200",
            "fax_number": "931-232-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 HWY 79",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370580949",
            "telephone_number": "931-232-5200",
            "fax_number": "931-232-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGARD FAMILY THERAPY & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "BOGARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN SPICELAND",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "931-232-5200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bogard Therapy & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blane Clinical LLC
• Blane Management LLC
• Blane Management LLC
• Christa A Blane, ARNP-BC
• Marlin Blane, PHARMD
• Jennifer Lynn Spiceland Bogard, M.S., CCC-SLP
• Leo Boyd
• Leesa Briles, PHARMD
• Lezlie Williams Burden, PA-C
• Ryan Case, PHARMD

• All providers in Dover, TN
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.