Carolyn Isabelle Bogan, MSN, FNP-BC, CARN-AP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2299659 Issued in MA

Practice address

797 Main St
Weymouth, MA 02190-1623

Phone

(781) 624-5065

NPI assigned

Jun 30, 2017

Last updated

May 12, 2021By 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 names 1

• Miss Carolyn Isabelle Bogdon Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Coastal Medical Associates

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1932175684
  Medicare reassignment NPD
• Boston's Community Medical Group, Inc.

  dba CCA Primary Care

  • Primary Care Clinic/Center
  • Boston, MA
  • NPI 1235174418
  NPD
• Commonwealth Clinical Alliance, Inc

  • Case Manager/Care Coordinator
  • Boston, MA
  • NPI 1679605091
  NPD
• University Medical Associates of the Medical University of South Carol

  dba MUSC Physicians

  • Multi-Specialty Clinic/Center
  • Charleston, SC
  • NPI 1043241110
  NPD

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1902327711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LONGWATER DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611632",
            "telephone_number": "781-792-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901623",
            "telephone_number": "781-624-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "CAROLYN",
        "middle_name": "ISABELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC, CARN-AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2299659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BOGDON",
            "middle_name": "ISABELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeleine Blanton
• Nicole Blathras, RN
• Sarah Eileen Bloom
• Alexander C Boal, CRNA
• Kristina Lingertat Bodeau, MSW
• Jeremiah Bonnet
• Jane Marie Boomer, MED
• Karen Borden, NP
• Daniel Edward Borezo, PA-C
• Boston Brace International Inc. (OP Specialty Bracing)

• Family Nurse Practitioner in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.