KEVIN BOONE (NPI# 1376869669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376869669 |
Entity Type | Individual |
Full Name | KEVIN BOONE |
Credential | N.P. |
Practice Address |
2705 N Lebanon St Ste 265 Lebanon IN 46052-8621 |
Mailing Address |
2705 N Lebanon St Ste 305 Lebanon IN 46052-8622 |
Practice Telephone | 7654858830 |
Practice Fax Number | 7354858839 |
Enumeration Date | 2010-04-13 |
Last Update Date | 2020-01-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208M00000X | Hospitalist | 71003256A | IN | Allopathic & Osteopathic Physicians |
Y | 363L00000X | Nurse Practitioner | 71003256A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200985040 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2605 N Lebanon St, Lebanon, IN 460521476 | 7654858000 | 7654858839 |
2705 N Lebanon St Ste 140, Lebanon, IN 460528622 | 7654858880 | 7654858889 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205174398 | Kevin Ross Boone | Counselor | 10373 Ne Hancock St, Suite 200, Portland, OR 97220-3873 | 2013-01-23 |
Street Address |
2705 N LEBANON ST STE 265 |
City | LEBANON |
State | IN |
Zip Code | 46052-8621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588661409 | Mark J Janicki | Psychiatry & Neurology | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2005-07-07 |
1225324841 | Amanda Jean Stevens-udeze | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2011-06-22 |
1790075851 | Zachary Nathan Gordon | Urology | 2705 N Lebanon St Ste 265, Lebanon, IN 46052 | 2011-04-11 |
1306167424 | Chad H Meshberger | Psychiatry & Neurology | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2010-06-14 |
1598995086 | Adam Anthony Cieciuch | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2009-07-20 |
1396905782 | Tehniat Haider | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2008-06-10 |
1528226321 | Neha Shardul Gavin | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2008-05-28 |
1922169374 | Alex Kor | Podiatrist | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2006-12-12 |
1356307003 | Crystal L Jones | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2006-04-21 |
1740277466 | Thomas Ray Cartwright | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2005-09-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
Find all providers in zip 46052 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
1417505058 | Tanya Dawn Viars | Nurse Practitioner | 754 East Main St, Lebanon, VA 24266-2426 | 2019-08-27 |
1053823377 | Allison Ickes | Nurse Practitioner | 900 Tuck Street; Mchs Lebanon / Heartland Care Partners, Lebanon, PA 17042-7446 | 2017-10-26 |
1124412879 | Samantha Meyer | Nurse Practitioner | 842 Carson Dr, Lebanon, OH 45036-1316 | 2015-03-20 |
1366687261 | Pamela S Lippitt | Nurse Practitioner | 944 Riley Wills Rd, Lebanon, OH 45036-9037 | 2008-12-05 |
1295950061 | Judith Ann Barberio | Nurse Practitioner | 7 Haytown Rd, Lebanon, NJ 08833-4009 | 2007-04-16 |
1437249372 | Anna Marie Dryer | Nurse Practitioner | 510 E. Hwy 32, Lebanon, MO 65536-5303 | 2006-10-13 |
1588755268 | Katherine A Tuthill | Nurse Practitioner | 18 Old Etna Road, Sleep Medicine, Lebanon, NH 03766 | 2006-09-27 |
1538101068 | Joy Bender Mcmurry | Nurse Practitioner | 1423 W. Baddour Parkway, Lebanon, TN 37088-1165 | 2006-06-11 |
1881672137 | Melynda Kaye Wallace | Nurse Practitioner | 252 Mechanic St, Lebanon, NH 03766-2613 | 2006-01-06 |
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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.