KEVIN BOONE


Address: 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621
Phone: 7654858830

KEVIN BOONE (NPI# 1376869669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IN 200985040 05

Provider Secondary Practice Location

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

Other Providers KEVIN BOONE

NPI Name Taxonomy Address Enumeration
1205174398 Kevin Ross Boone Counselor 10373 Ne Hancock St, Suite 200, Portland, OR 97220-3873 2013-01-23

Office Location

Street Address 2705 N LEBANON ST STE 265
City LEBANON
State IN
Zip Code 46052-8621

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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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City LEBANON
Zip Code 46052

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Dataset Information

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.

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