Cynthia L Bogacki, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

1647997 Issued in CO

Practice address

2300 S Rock Creek Pkwy Apt 14-101
Superior, CO 80027-4414

Phone

(618) 520-7504

NPI assigned

Jan 7, 2018

Last updated

Jan 7, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515283200000",
    "number": "1831606227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S ROCK CREEK PKWY APT 14-101",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S ROCK CREEK PKWY APT 14-101",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274414",
            "telephone_number": "618-520-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGACKI",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041433621",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CO",
            "license": "1647997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R Belsky
• Korina R Bersentes, M.D.
• Swati Bhakta, PHARMD
• Morgan Bishop
• Pamela Bloom, PHARMD
• Boulder Community Health (Community Medical Assoc of B.C.H.)
• Boulder Community Health (Superior Lab)
• Boulder Community Health (Community Medical Associates of BCH)
• Boulder Community Health (Community Medical Assoc of B.C.H.)
• Boulder Community Health (Community Medical Assoc of B.C.H.)

• General Practice Registered Nurse in Superior, CO
• Providers in Superior, CO by specialty
• General Practice Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.