MRS. KATHERINE HOOKER BOAZ (NPI# 1952390791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952390791 |
Entity Type | Individual |
Full Name | MRS. KATHERINE HOOKER BOAZ |
Credential | NP |
Practice Address |
295 Commonwealth Blvd W Martinsville VA 24112-1820 |
Mailing Address |
1389 Budd Ln Montvale VA 24122-2793 |
Practice Telephone | 2766382311 |
Mailing Telephone | 5409470159 |
Enumeration Date | 2005-10-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024070731 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
295 COMMONWEALTH BLVD W |
City | MARTINSVILLE |
State | VA |
Zip Code | 24112-1820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093027021 | Robert Saunders Jordan IIi | Dentist | 295 Commonwealth Blvd W, Martinsville, VA 24112-1820 | 2010-07-07 |
1942479274 | Elizabeth Weick Roycroft | Pediatrics | 295 Commonwealth Blvd W, Martinsville, VA 24112-1820 | 2008-02-20 |
1205863024 | Charles Bennett Marshall | Obstetrics & Gynecology | 295 Commonwealth Blvd W, Martinsville, VA 24112-1820 | 2006-06-27 |
1518918200 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 295 Commonwealth Blvd W, Martinsville, VA 24112-1820 | 2006-05-15 |
1295796951 | Gordon Martin Green | Family Medicine | 295 Commonwealth Blvd W, Martinsville, VA 24112-1820 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
Find all providers in zip 24112 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730701079 | Brandi Nicole Fritsche | Nurse Practitioner | 3175 Falcon Crest Dr, Martinsville, IN 46151-7088 | 2020-05-09 |
1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
1417466046 | Elizabeth A Johnson | Nurse Practitioner | 1107b Brookdale St, Martinsville, VA 24112-4501 | 2017-09-27 |
1275060840 | Wendy Buchanan Gilraine | Nurse Practitioner | 319 Hospital Dr Ste 105, Martinsville, VA 24112-1928 | 2017-05-15 |
1588106272 | Ronikka Charvelle Hannans | Nurse Practitioner | 319 Hospital Dr Ste 103, Martinsville, VA 24112-1928 | 2016-11-10 |
1629476890 | Promptserve Family Medicine LLC | Nurse Practitioner | 235 Morton Ave, Martinsville, IN 46151-2471 | 2014-12-19 |
1184984445 | Tiffany Quinn Plunk | Nurse Practitioner | 319 Hospital Dr Ste 202, Martinsville, VA 24112-1948 | 2012-05-21 |
1295927796 | Kathryn Lynn Whitley | Nurse Practitioner | 295 Commonwealth Blvd, Henry Martinsville Health Department, Martinsville, VA 24114 | 2007-08-17 |
1255451647 | Renee Mosley | Nurse Practitioner | 11 Redd Level Road, Martinsville, VA 24115 | 2007-03-30 |
1801868617 | Susan Ramsey Weeks | Nurse Practitioner | 100 College Drive, Martinsville, VA 24112 | 2006-02-06 |
Find all providers in MARTINSVILLE |
City | MARTINSVILLE |
Zip Code | 24112 |
Please comment or provide details below to improve the information on MRS. KATHERINE HOOKER BOAZ.
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.