DEBRA A. BOSTIC (NPI# 1487709655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487709655 |
| Entity Type | Individual |
| Full Name | DEBRA A. BOSTIC |
| Credential | FNP-C |
| Practice Address |
Route 79 Dawes WV 25054 |
| Mailing Address |
Po Box 70 Dawes WV 25054-0070 |
| Practice Telephone | 3047342040 |
| Practice Fax Number | 3047342047 |
| Mailing Telephone | 3047342040 |
| Mailing Fax Number | 3047342047 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
47229RN | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 7102056000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730198441 | Debra L Bostic | Nurse Practitioner | 9940 Talbert Ave, Suite 303, Fountain Valley, CA 92708-5153 | 2006-08-05 |
| Street Address |
ROUTE 79 |
| City | DAWES, |
| State | WV |
| Zip Code | 25054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336467117 | Debora Jean Bail | Pharmacist | 5722 Cabin Creek Drive, Dawes, WV 25054 | 2010-05-04 |
| 1225257850 | Cabin Creek Health Center, Inc. | Clinical Medical Laboratory | State Rte 79, Dawes, WV 25054 | 2007-04-24 |
| 1225194848 | Amy Wayne Brabbin | Pharmacist | State Route 79, Dawes, WV 25054 | 2006-12-28 |
| 1306921556 | Sue Ann Westfall | Family Medicine | 5722 Cabin Creek Road, Suite A, Dawes, WV 25054 | 2006-10-26 |
| 1306838685 | Brian E Sayre | Pharmacist | Sr 79, Dawes, WV 25054 | 2005-08-22 |
| 1457892705 | Dannel Karl Petgrave | Psychologist | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2017-03-19 |
| 1912440652 | Tiffany Hughes | Nurse Practitioner | 5722 Cabin Creek Road, Dawes, WV 25054 | 2016-11-29 |
| 1134582281 | Sarah Hansen | Registered Nurse | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2016-04-05 |
| 1972994788 | Jerad Lee Bailey | Pharmacist | 5722 Cabin Creek Road, Dawes, WV 25054 | 2015-02-16 |
| 1457754988 | Cabin Creek Health Center Lab | Family Medicine | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2014-09-29 |
| Find all providers in zip 25054 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517259 | Jeniffer Rachelle Wickline | Nurse Practitioner | 1265 Maplewood Ave, Lewisburg, WV 24901-9478 | 2020-10-27 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1568069110 | Sarah Michelle Jones | Nurse Practitioner | 198 Morgantown St Unit 2, Bruceton Mills, WV 26525-5003 | 2020-10-07 |
| 1114524287 | Mary E Christian | Nurse Practitioner | 2107 Pike St Ste 3, Parkersburg, WV 26101-6973 | 2020-10-02 |
| 1376140517 | Katheryn Sue Marsh | Nurse Practitioner | 94 W Main St Ste 202, Buckhannon, WV 26201-2376 | 2020-10-01 |
| 1114534567 | Natalie Renee Warner | Nurse Practitioner | 601 Colliers Way Ste 502, Weirton, WV 26062-5014 | 2020-09-29 |
| 1942816137 | Angela Renee Goff | Nurse Practitioner | 119 Main St W Ste A, Oak Hill, WV 25901-2972 | 2020-09-22 |
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1407462070 | Lindsey King | Nurse Practitioner | 122 Waterside Cir, Winfield, WV 25213-9551 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEBRA A. BOSTIC.
| 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.