MS. THERESA LOUISE BOOGAARD NP
NPI 1366403420
Nurse Practitioner - Neonatal in Coon Rapids, MN

Q: What is Theresa Boogaard's NPI number?

The NPI number for Theresa Boogaard is 1366403420. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Theresa Boogaard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Boogaard was last updated on September 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2006

4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 236-6000 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Theresa Louise Boogaard Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERESA LOUISE BOOGAARD NP (NPI 1366403420) is an individual neonatal provider in Coon Rapids, Minnesota, licensed in Minnesota (R162764-4) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1366403420

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMS. THERESA LOUISE BOOGAARDCredential: NP

Location Address4050 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2522

Mailing AddressPo Box 43, Mr 10809Minneapolis, MN 55440-0043 · (612) 262-4813 · Fax (612) 262-4194

Phone(763) 236-6000

Sole ProprietorNo

Enumeration DateMarch 29, 2006

Last NPPES UpdateSeptember 29, 2009

✔ NPI 1366403420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

Licenses✔ Licensed in MN · R162764-4✔ Licensed in AZ · RN057338

4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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Other Names 1

Former Name (1)Theresa Louise Hunter Np

Other Identifiers 1

Medicare UPINQ25792

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS G HOFFMAN CRNA

Nurse Anesthetist, Certified Registered