MS. SHELLY ANN BOSTON (NPI# 1932487022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932487022 |
| Entity Type | Individual |
| Full Name | MS. SHELLY ANN BOSTON |
| Credential | APRN-CNP |
| Practice Address |
216 S 7th St Suite 1 Vinita OK 74301-3742 |
| Mailing Address |
216 South 7th Street Suite 1 Vinita OK 74301-3720 |
| Practice Telephone | 9182561501 |
| Practice Fax Number | 9183230460 |
| Mailing Telephone | 9182561501 |
| Mailing Fax Number | 9183230460 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
78693 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200390480A | 05 | |
| OK | GROUP MEDICAID | 200509690H | 01 |
| Street Address |
216 S 7TH ST SUITE 1 |
| City | VINITA |
| State | OK |
| Zip Code | 74301-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011242 | Laura Jean Hallacy | Nurse Practitioner | 36488 S Highway 82, Vinita, OK 74301-7438 | 2005-08-24 |
| 1326510488 | Dori Lynn Deffit | Nurse Practitioner | 244 S Scraper St, Vinita, OK 74301-3740 | 2018-12-28 |
| 1760836258 | Gara Tramel | Nurse Practitioner | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2016-04-20 |
| 1750755112 | Shiela Williams | Nurse Practitioner | 715 N Foreman St, Vinita, OK 74301-1422 | 2015-11-23 |
| 1013391689 | Jodee Carrier | Nurse Practitioner | 803 N Foreman St, Suite 102, Vinita, OK 74301-1435 | 2015-07-14 |
| 1508262957 | Kathryn Deann Holloway | Nurse Practitioner | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2014-11-12 |
| 1952660045 | Tracy Lynn Martin | Nurse Practitioner | 36488 S Highway 82, Vinita, OK 74301-7438 | 2012-05-09 |
| 1992973192 | Keari Lynn Girvin | Nurse Practitioner | 715 N Foreman St, Vinita, OK 74301-1422 | 2008-02-11 |
| 1114074291 | Cindy A. Noble | Nurse Practitioner | 36488 S Highway 82, Vinita, OK 74301-7438 | 2007-01-04 |
| 1558347328 | Marcia L Diaz | Nurse Practitioner | 715 N Foreman St, Vinita, OK 74301-1422 | 2005-12-22 |
| Find all providers in VINITA | ||||
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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.