Individual provider Active NPI

Hanna Bogale, OWNER

  • Non-emergency Medical Transport (VAN)
  • Denver, CO
National Provider Identifier
1790217065
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
0001773 Issued in CO
Practice address
1415 S Galena Way
Denver, CO 80247-1976
Phone
(720) 436-6480
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 0001773 CO Primary

Addresses

Primary practice location

1415 S Galena Way
Denver, CO 80247-1976

Mailing address

10340 E Colorado Ave Apt 1
Aurora, CO 80247-3103
Phone (720) 436-6480

Other identifiers 1

IdentifierTypeStateIssuer
20161463843OtherCOPUBLIC UTILITIES COMMISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001773COMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1790217065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 E COLORADO AVE APT 1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "802473103",
            "telephone_number": "720-436-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S GALENA WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471976",
            "telephone_number": "720-436-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGALE",
        "first_name": "HANNA",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "0001773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC UTILITIES COMMISION",
            "identifier": "20161463843",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.