IndividualActive
Angeline Boughner, CHW
NPI 1619730108 · Community Health Worker · Lansing, MI
Provider details
- NPI number
- 1619730108
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- CHW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
11 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2316 S Cedar St
Lansing, MI 48910-3152
Phone: (517) 702-3508
Street-level locationGet directions
Mailing address
5632 Wise Rd
Lansing, MI 48911-3411
Additional practice locations (10)
- 102 Mcpherson AveLansing, MI 48915-1760Phone: (517) 244-8041
- 815 N Fairview Ave Rm 100Lansing, MI 48912-3129Phone: (517) 887-4349
- 626 Marshall St Ste 800Lansing, MI 48912-2309Phone: (517) 244-8014
- 812 E Jolly RdLansing, MI 48910-6818Phone: (517) 244-8030
- 5303 S Cedar StLansing, MI 48911-3800Phone: (517) 887-3800
- 3900 Stabler St Rm 7Lansing, MI 48910-4567Phone: (517) 272-4104
- 333 Dahlia Dr Rm E315Lansing, MI 48911-3789Phone: (517) 272-4115
- 430 N Larch St Ste 1Lansing, MI 48912-1283Phone: (514) 887-4400
- 1601 E Kalamazoo StLansing, MI 48912-2701Phone: (517) 679-2880
Registry dates
- Enumerated
- 2024-02-06
- Last updated
- 2024-02-06
- Certified
- 2023-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.