Peggy Bodell

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1435289 Issued in MN

Practice address

10467 93Rd Ave N
Maple Grove, MN 55369-4112

Phone

(651) 488-4655

NPI assigned

Jul 7, 2022

Last updated

Jul 7, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regency Home Healthcare Services LLC

  • Home Health Agency
  • Maple Grove, MN
  • NPI 1144260589
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1841923893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10467 93RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694112",
            "telephone_number": "651-488-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10467 93RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694112",
            "telephone_number": "651-488-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODELL",
        "first_name": "PEGGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1435289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144260589",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gsalzwedel@regencyhhc.com",
            "affiliation": "N",
            "address_1": "10467 93rd Ave N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553694112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blue Ridge Dental Center PA
• Blue Ridge Recover LLC
• Wendy Blue, RN, CDE
• Nuhn Monique Boayue
• Rachel Collette Bock, LP
• Omotayo Bodunwa
• Ronald B Boeding, MD
• Alexandria Bofferding
• Anna Bohlinger
• Sarah Bohn

• Registered Nurse in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Registered Nurse in Minnesota

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