Nicole Boggio, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Providence, RI
NPI 1992557540 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1992557540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 793-2695
- Fax
- (401) 444-4165
- NPI assigned
- Apr 4, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
593 Eddy St
Providence, RI 02903-4923
Phone (401) 793-2695
Other providers in Providence, RI
- Carolina Serna Boe
- Julie Kumata Boehm
- Daniela A Boerescu
- Julie Boergers
- Noah Bogdonoff
- Anne Katherine Bohle
- Jamie Lyn Boiani
- Tatyana Marie Boiano
- Kapedjanie Bois
- Sean Boisvert
All providers in Providence, RI · Student in an Organized Health Care Education/Training Program in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.