Kristin L Boudreaux (NPI# 1376592055, PAC ID# 3173696978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376592055 |
| PAC ID by PECOS | 3173696978 |
| Professional Enrollment ID | I20170302002405 |
| Full Name | Kristin L Boudreaux |
| Organization Legal Name | ORTHOCINCY |
| Address |
8726 Us Suite 42 Florence KY 41042 |
| Phone Number | 8593012663 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173500196 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| 360163 | CHRIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2123 Auburn Ave, Suite 630, Cincinnati, OH 45219-2906 | 8593012663 | ORTHOCINCY |
| 8726 Us, Suite 42, Florence, KY 41042 | 8593012663 | ORTHOCINCY |
| Organization Legal Name | ORTHOCINCY |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Mccormick | Physical Therapy | Orthocincy | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 |
| Kristen Leigh Arveson | Physical Therapy | Orthocincy | 2123 Auburn Ave, Suite 630, Cincinnati, OH 45219-2906 |
| Matthew J Connolly | Podiatry | Orthocincy | 560 S Loop Rd, Edgewood, KY 41017-3405 |
| Timothy B Mcconnell | Orthopedic Surgery | Orthocincy | 2960 Mack Rd, Fairfield, OH 45014-5300 |
| Matthew W Giese | Physician Assistant | Orthocincy | 560 S Loop Rd, Edgewood, KY 41017-3405 |
| Brandon P Griffin | Physical Therapy | Orthocincy | 560 S Loop Rd, Edgewood, KY 41017-3405 |
| Logan J Siemer | Physical Therapy | Orthocincy | 560 S Loop Rd, Edgewood, KY 41017-3405 |
| Forest T Heis | Orthopedic Surgery | Orthocincy | 560 S Loop Rd, Edgewood, KY 41017-3405 |
| Kristin N Petrosky | Physical Therapy | Orthocincy | 2123 Auburn Ave, Suite 630, Cincinnati, OH 45219-2906 |
| Brittany A Muench | Physician Assistant | Orthocincy | 560 S Loop Rd, Edgewood, KY 41017-3405 |
| Street Address |
8726 US SUITE 42 |
| City | FLORENCE |
| State | KY |
| Zip | 41042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosa B. Hill | Nurse Practitioner | Summit Medical Group, Inc. | 8726 Us, Suite 42, Florence, KY 41042-9625 |
| Suzanne Mary Kreger | Nurse Practitioner | Summit Medical Group, Inc. | 8726 Us, Suite 42, Florence, KY 41042-9625 |
| Chrystal Souder | Nurse Practitioner | Summit Medical Group, Inc. | 8726 Us, Suite 42, Florence, KY 41042-9625 |
| Martin Neville Pohl | Emergency Medicine | Summit Medical Group, Inc. | 8726 Us, Suite 42, Florence, KY 41042-9625 |
| Amy Lynn Richardson | Nurse Practitioner | Summit Medical Group, Inc. | 8726 Us, Suite 42, Florence, KY 41042-9625 |
| William Wallace Mcclellan V | Orthopedic Surgery | Orthocincy | 8726 Us, Suite 42, Florence, KY 41042 |
| Ana C Baptista-wise | Nurse Practitioner | Orthocincy | 8726 Us, Suite 42, Florence, KY 41042 |
| Jessica Vaniglia | Nurse Practitioner | Summit Medical Group, Inc. | 8726 Us, Suite 42, Florence, KY 41042-9625 |
| Jonathan Ray Varney | Nurse Practitioner | Summit Medical Group, Inc. | 8726 Us, Suite 42, Florence, KY 41042-9625 |
| Angel L Velazquez-santiago | Family Medicine | Summit Medical Group, Inc. | 8726 Us, Suite 42, Florence, KY 41042-9625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eva K Broeg | Chiropractic | Richard A Broeg Dc Psc | 1029 Burlington Pike, Florence, KY 41042-1235 |
| Richard A Broeg | Chiropractic | Richard A Broeg Dc Psc | 1029 Burlington Pike, Florence, KY 41042-1235 |
| Melissa Glick Erickson | Family Medicine | University of Cincinnati Physicians Company LLC | 7380 Turfway Rd, Florence, KY 41042-1355 |
| Scott A Neltner | Dermatology | University of Cincinnati Physicians Company LLC | 7380 Turfway Rd, Florence, KY 41042-1355 |
| Christa Renee Cooper | Nurse Practitioner | University of Cincinnati Physicians Company LLC | 7380 Turfway Rd, Florence, KY 41042-1355 |
| Matthew Stephens | Diagnostic Radiology | University of Cincinnati Physicians Company LLC | 7380 Turfway Rd, Florence, KY 41042-1355 |
| Robert D Wells | Psychologist, Clinical | Summit Medical Group, Inc. | 7388 Turfway Rd, Florence, KY 41042-1381 |
| Jeannette Debol | Clinical Social Worker | Cancer Family Care, Inc. | 7388 Turfway Rd, Suite 108, Florence, KY 41042-1382 |
| Ana Vanway | Nurse Practitioner | Kiosk Medicine Kentucky LLC | 7685 Mall Rd, Florence, KY 41042-1403 |
| Robert Jamey Herbst | Podiatry | 7911 Mall Rd, Florence, KY 41042-1409 | |
| Find all physicians in zip 41042 | |||
| City | FLORENCE |
| Zip Code | 41042 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLORENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristin L Boudreaux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.