MRS. JACQUELYN E BOAN (NPI# 1063454452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063454452 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELYN E BOAN |
| Credential | FNP |
| Practice Address |
11201 Colorado Ave Kansas City MO 64137-2502 |
| Practice Telephone | 8167650232 |
| Practice Fax Number | 8167630734 |
| Mailing Telephone | 8167650232 |
| Mailing Fax Number | 8167630734 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
086946 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11201 COLORADO AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64137-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528069721 | Mario K Yu | Psychiatry & Neurology | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2005-08-10 |
| 1881880128 | Mario Yu Md Neurology PC | Psychiatry & Neurology | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2007-09-20 |
| 1073583373 | Hickman Mills Clinic, Inc. | Family Medicine | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2006-01-26 |
| 1922079276 | Joseph E Spurney | Family Medicine | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235502139 | Amy Clarkson | Social Worker | 9700 Granview Rd, Kansas City, MO 64137 | 2015-11-02 |
| 1962888933 | Naomi Norton | Counselor | 11209 Myrtle Ave, Kansas City, MO 64137 | 2015-07-31 |
| 1083005375 | Oms Rehab, LLC | Durable Medical Equipment & Medical Supplies | 9678 Marion Ridge Dr, Kansas City, MO 64137 | 2015-02-09 |
| 1487904058 | Edward Perkins D.d.s. PC | Dentist | 5314 E 115 St, Kansas Ctiy, MO 64137 | 2012-09-11 |
| 1053411140 | Robert Raymond Brooks | Chiropractor | 3901 Red Bridge Road, Kansas City, MO 64137 | 2006-09-25 |
| 1972616522 | Rehab Medical of Kansas City, Inc. | Durable Medical Equipment & Medical Supplies | 9580 Marion Rdg, Kansas City, MO 64137 | 2006-08-17 |
| 1558836122 | Natasha Marie Sellens | Speech-Language Pathologist | 10330 Hickman Mills Dr, Kansas City, MO 64137 | 2018-10-09 |
| 1841784626 | Melanie Mercedes Prickett | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137 | 2018-06-15 |
| 1548754328 | Phillip Carl Easley | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137 | 2018-06-15 |
| 1821582602 | Victoria Amanda Dolan | Behavior Technician | 10330 Hickman Mills Dr, Kansas City, MO 64137 | 2018-06-15 |
| Find all providers in zip 64137 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861968612 | Nasir Gebi | Nurse Practitioner | 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 | 2018-10-19 |
| 1457839573 | Robert Claude Kamtio Kamgoum | Nurse Practitioner | 406 W 34th St Ste 428, Kansas City, MO 64111-3113 | 2018-07-31 |
| 1568434173 | Carol Ann Dickerson | Nurse Practitioner | 8301 State Line Rd, #100, Kansas City, MO 64114-2025 | 2006-02-07 |
| 1053778787 | Kelly Bush | Nurse Practitioner | 4400 Broadway, Suite 520, Kansas City, MO 64111-3498 | 2016-01-26 |
| 1598122863 | Elizabeth B Kay | Nurse Practitioner | 1500 Meadow Lake Pkwy, Ste 200, Kansas City, MO 64114-1600 | 2016-01-18 |
| 1568573103 | Joseph Caraway | Nurse Practitioner | 5400 N Oak Trfy, Ste 100, Kansas City, MO 64118-6489 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632932 | Rebecca Theresa Medlock | Nurse Practitioner | 736 Marco Valley Ct, Fenton, MO 63026-5318 | 2020-06-05 |
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1437615044 | Ashley M Berneking | Nurse Practitioner | 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 | 2019-02-19 |
| 1174094072 | Michelle Kay Bank | Nurse Practitioner | 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 | 2018-12-17 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1386995595 | Kristina M Nelson | Nurse Practitioner | 5225 Mid America Plz, Saint Louis, MO 63129-0002 | 2012-09-27 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64137 |
Please comment or provide details below to improve the information on MRS. JACQUELYN E BOAN.
| 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.