MRS. KATHLEEN A BOONE (NPI# 1538143391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538143391 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN A BOONE |
| Credential | FNP |
| Practice Address |
9699 Ocean Hwy Waccmaaw Medical Center Pawleys Island SC 29585-7425 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8432374296 |
| Practice Fax Number | 8432370495 |
| Mailing Telephone | 8436528220 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F1372 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1370 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073971636 | Kathleen Boone | Audiologist | 6423 Bordeaux Park, Colleyville, TX 76034-7625 | 2016-02-10 |
| 1811472863 | Kathleen Boone | Counselor | 5209 Euclid Ave, Cleveland, OH 44103-3703 | 2018-09-26 |
| 1548378011 | Kathleen Anne Boone | Marriage & Family Therapist | 1150 Eastern Ave, Sacramento, CA 95864-5308 | 2006-08-26 |
| Street Address |
9699 OCEAN HWY WACCMAAW MEDICAL CENTER |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-7425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144668930 | Richard Andrew Philipp II | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2013-06-13 |
| 1952655912 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 9699 Ocean Hwy, Suite A, Pawleys Island, SC 29585-7425 | 2012-10-30 |
| 1023371044 | Kent Bryce Loader | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2012-06-25 |
| 1992095236 | Douglas Charles Swartz | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585-7425 | 2011-04-07 |
| 1306028832 | Georgetown Physician Associates, LLC | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2007-11-27 |
| 1962691402 | Georgetown Physician Services, LLC | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585-7425 | 2007-10-22 |
| 1760588388 | Jennifer L Johnson | Physician Assistant | 9699 Ocean Hwy, Pawleys Island, SC 29585-7425 | 2006-09-15 |
| 1801800990 | Lawrence Casey Mann IIi | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2006-07-27 |
| 1215914635 | Edward Scott Brumfield | Family Medicine | 9699 Ocean Hwy, Georgetown Health Group, Pawleys Island, SC 29585-7425 | 2005-12-28 |
| 1821073321 | Gerald E Harmon | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585-7425 | 2005-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588819 | Natalia Milliken | Nurse Practitioner | 4921 Bluffton Pkwy Apt 534, Bluffton, SC 29910-4655 | 2020-11-04 |
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1881291722 | Margot Veronique Rabren | Nurse Practitioner | 109 Carter Park Dr # 3a, Seneca, SC 29678-1152 | 2020-10-05 |
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1821649344 | Jacqueline G. Stephens | Nurse Practitioner | 406 S Railroad Ave, Lamar, SC 29069-2906 | 2019-09-25 |
| 1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
| 1083278279 | Heather Michelle Martin | Nurse Practitioner | 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 | 2019-04-24 |
| 1871055210 | Kelli Lane Evans | Nurse Practitioner | 260 W Coleman Blvd Ste A, Mount Pleasant, SC 29464-3666 | 2019-04-04 |
| 1255807087 | Jaclyn Blair Lucchese | Nurse Practitioner | 25 Hospital Center Blvd Ste 105, Hilton Head Island, SC 29926-2735 | 2018-10-19 |
| 1790297497 | Juliann Marie Trumpower | Nurse Practitioner | 9789 Charlotte Hwy Ste 1400, Fort Mill, SC 29707-7186 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.