MR. THADDEUS JASON BOUGHTON (NPI# 1043553357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043553357 |
| Entity Type | Individual |
| Full Name | MR. THADDEUS JASON BOUGHTON |
| Credential | ANP-BC |
| Practice Address |
1110 E 6th Street Suite E Muscle Shoals AL 35661 |
| Mailing Address |
1110 E 6th Street Suite E Muscle Shoals AL 35661-3669 |
| Practice Telephone | 2563142431 |
| Practice Fax Number | 2563142435 |
| Mailing Telephone | 2563142431 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1139488 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 | 2563142431 | 2563142435 |
| Street Address |
1110 E 6TH STREET SUITE E |
| City | MUSCLE SHOALS |
| State | AL |
| Zip Code | 35661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1205354222 | Life Counseling Center, LLC | Clinic/Center | 100 Alabama Ave., Suite C, Muscle Shoals, AL 35661 | 2017-08-30 |
| 1558884569 | Roger Eugene Jarrell | Pharmacist | 517 W. Avalon Ave, Walmart Pharmacy, Muscle Shoals, AL 35661 | 2017-07-21 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1265813802 | Brittany Johnson Sutton | Physical Therapy Assistant | 200 Alabama Avenue, Muscle Shoals, AL 35661 | 2015-06-09 |
| 1538566013 | Procare Physical Therapy | Physical Therapist | 322 Lonnie Dr., Muscle Shoals, AL 35661 | 2014-11-26 |
| 1972919165 | Erica Conley | Nurse Practitioner | 210 Avalon Ave, Muscle Shoals, AL 35661 | 2014-07-08 |
| 1205260254 | Donnella Tenn | Occupational Therapy Assistant | 200 Alabama Street, Muscle Shoals, AL 35661 | 2013-08-27 |
| 1629312301 | Sarah Blaylock | Occupational Therapist | 200 Alabama Ave, Muscle Shoals, AL 35661 | 2012-11-19 |
| 1003049016 | Family Health Care Clinic, Inc | Clinic/Center | 102 Physicians Dr, Suite B, Muscle Shoals, AL 35661 | 2009-08-25 |
| Find all providers in zip 35661 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250249 | Marnita Monique Stallworth | Nurse Practitioner | 3937 Harmony Ridge Cir W, Semmes, AL 36575-5282 | 2020-09-16 |
| 1427676584 | Julie Danielle Laird | Nurse Practitioner | 453 Sandstone Dr, Dothan, AL 36303-7313 | 2020-07-06 |
| 1619591468 | Cartney Michelle Kesten | Nurse Practitioner | 14006 Percivale Dr Se, Huntsville, AL 35803-1868 | 2020-06-07 |
| 1235764069 | Bianca A Norris | Nurse Practitioner | 7000 Adventist Blvd Nursing Department, Huntsville, AL 35896-0001 | 2020-03-12 |
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| 1578193892 | Heather Dawn Battles | Nurse Practitioner | 9785 Us Highway 278 W, Altoona, AL 35952-7771 | 2020-01-26 |
| 1548806540 | Hailey Hammond | Nurse Practitioner | 3101 26th Ave, Northport, AL 35476-5236 | 2019-11-25 |
| 1619511367 | Sarah Ashley Freeman | Nurse Practitioner | 363 Riverside Dr, Gadsden, AL 35903-2945 | 2019-11-05 |
| 1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
| 1891250262 | Corrie Graveman | Nurse Practitioner | 7070 Taylors Ferry Rd, Bessemer, AL 35023-5565 | 2019-02-09 |
| Find all providers with the same taxonomy | ||||
| City | MUSCLE SHOALS |
| Zip Code | 35661 |
Please comment or provide details below to improve the information on MR. THADDEUS JASON BOUGHTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.