Jaqi Hersey Bogdanski, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2270729 Issued in MA

Practice address

47 Newbury St Unit 7
Peabody, MA 01960-3867

Phone

(978) 278-5414

NPI assigned

Sep 5, 2012

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

State licenses

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1922357920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 IRON WORKS WAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061490",
            "telephone_number": "781-290-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEWBURY ST UNIT 7",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603867",
            "telephone_number": "978-278-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANSKI",
        "first_name": "JAQI",
        "middle_name": "HERSEY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2270729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2270729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Denise Bocchino, COTA/L
• Elizabeth Marashi Bode
• Lindsey Kay Boland, LCSW
• Katherine A Bolduc
• Meredith Benz Bollinger, MSW, LICSW
• Carly Bonanno
• Charys Julissa Bones

• Family Nurse Practitioner in Peabody, MA
• Providers in Peabody, 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 Aug 8, 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.