DANIEL BOONE (NPI# 1710994041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710994041 |
| Entity Type | Individual |
| Full Name | DANIEL BOONE |
| Credential | P.T. |
| Practice Address |
189 Adam Shepherd Pkwy Suite 14 Shepherdsville KY 40165-6579 |
| Practice Telephone | 5029557724 |
| Practice Fax Number | 5029555778 |
| Mailing Telephone | 5029557724 |
| Mailing Fax Number | 5029555778 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 003437 | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM/BCBS | 000000064465 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619926433 | Daniel Boone | Family Medicine | 300 Rawls Dr Ste 600, Mccomb, MS 39648-2862 | 2006-05-09 |
| 1679521603 | Daniel E Boone | Optometrist | 107 Village Center St, Nixa, MO 65714-7824 | 2006-05-04 |
| 1609434604 | Daniel Austin Boone | Optometrist | 107 Village Center St, Nixa, MO 65714-7824 | 2019-06-04 |
| 1871656744 | Daniel Kenneth Boone | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2006-12-19 |
| 1225131998 | Daniel H Boone | Internal Medicine | 465 N Belair Rd Ste 2b, Evans, GA 30809-3190 | 2006-09-07 |
| 1427089648 | Daniel Edward Boone | Psychologist | 811 Northgate Blvd, New Albany, IN 47150-6419 | 2006-07-05 |
| Street Address |
189 ADAM SHEPHERD PKWY SUITE 14 |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-6579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952838716 | Kentucky Eye Care Psc | Eyewear Supplier (Equipment, not the service) | 189 Adam Shepherd Pkwy, Ste 20, Shepherdsville, KY 40165-6579 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
| 1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
| 1497303861 | Advanced Neuromonitoring Associates, Inc. | Specialist | 3802 Arbor Way, Crestwood, KY 40014-8222 | 2019-08-29 |
| 1225509979 | Karen Rae Digirolamo | Specialist | 800 Rose St Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1043781792 | Jennifer Bradley | Specialist | 800 Rose Street Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1215407242 | Ann Powell | Specialist | 800 Rose Street Whitney Hendrickson Suite 306, Lexington, KY 40536-0001 | 2018-12-03 |
| 1922578160 | Robert B Slocum | Specialist | Whitney-hendrickson Building 3rd Floor, Lexington, KY 40536-0001 | 2018-11-30 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1346735214 | Stepp Fitness | Specialist | 1306 Kingdom Come Dr, Cumberland, KY 40823-1580 | 2018-06-24 |
| 1760972954 | Surgical First Assisting LLC | Specialist | 220 Mcintosh Dr, Taylorsville, KY 40071-8404 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
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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.