KELLY BOONE MSN FNP NPI 1588063713

NPI Information

NPI: 1588063713
Provider Name: KELLY BOONE, MSN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
545 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90013
Phone: (213) 347-6300
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Kelly Boone, MSN, FNP is a family nurse practitioner in Los Angeles, CA with 10 years of experience. Kelly Boone, MSN, FNP NPI is 1588063713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

545 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90013-101
Phone: (213) 347-6300

The NPI 1588063713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2014 and was last updated on 11/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		681397	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95001126	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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