Catherine Johnson Bogolub, M.D. , M.S.

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

N198 Issued in MN

Practice address

1424 Lincoln Ave
Saint Paul, MN 55105-2216

Phone

(651) 470-6135

Fax

(651) 344-0445

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Credentials

Doctor of Medicine, Master of Science

State licenses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1801106067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 LINCOLN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052216",
            "telephone_number": "651-470-6135",
            "fax_number": "651-344-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 LINCOLN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052216",
            "telephone_number": "651-470-6135",
            "fax_number": "651-344-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOLUB",
        "first_name": "CATHERINE",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "M.D. , M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MN",
            "license": "N198",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MN",
            "license": "N198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Bofenkamp, LPCC
• Troy J Boffeli, DPM
• Caroline Elisabeth Bogel, LICSW
• Asha Autumn Eve Boggs, MSW, LICSW
• Christine Elafros Bogie, PT
• McKenzie Bohlig, OTD, OTR/L
• Kristin Joanna Bohn
• Oksana Bohn, M.D.
• Beverly Elizabeth Bohrer, C.F.A.
• Jonathan Peter Boksberger, D.O.

• Nutrition Education Nutritionist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Nutrition Education Nutritionist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.