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THERESE L. BOGGIANO RN
NPI 1699023259
Nurse Practitioner - Psychiatric/Mental Health in Holland, MI

Active since August 29, 2012
12265 JAMES ST, HOLLAND, MI 49424(616) 494-5698 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2018, Jun 22, 2016 (2 updates tracked since 2016).

About Therese L. Boggiano Rn NPPES

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

THERESE L. BOGGIANO RN (NPI 1699023259) is an individual psychiatric/mental health provider in Holland, Michigan, licensed in Michigan (4704278126) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1699023259
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTHERESE L. BOGGIANOCredential: RN
Location Address12265 JAMES STHolland, MI 49424-8613
Mailing Address131 W Seaway Dr, Ste 200Norton Shores, MI 49444-3761 · (616) 494-5698
Phone(616) 494-5698
Sole ProprietorNo
Enumeration DateAugust 29, 2012
Last NPPES UpdateAugust 3, 20182 updates tracked since enumeration
✔ NPI 1699023259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704278126
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License 4704278126 (MI)
12265 JAMES ST, Holland, MI 49424
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Other Names 1

Former Name (1)Therese Kubiak

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.

SHERYL ANN MASCORRO RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
RHONDA MARIE RUTAN LLMSW
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MS. KATHLEEN D. SMITH PSYCHOLOGIST LLP
Psychologist (Intellectual and Developmental Disabilities)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MADISYN DEHORN
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
ALEXZANDRIA MCCRUM
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
CHERYL SCHUT LBSW
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
CHRISTINE A WILSON RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MANDI SCHEBOR
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Therese Boggiano's NPI number?

The NPI number for Therese Boggiano is 1699023259. It was assigned to this individual provider in the NPPES registry on August 29, 2012. The provider is also known as Therese Kubiak.

Where is Therese Boggiano located?

Therese Boggiano practices at 12265 James St, Holland, MI 49424. The listed phone number is (616) 494-5698.

What is Therese Boggiano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Therese Boggiano was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.