TESHEIKA NAVOY BOOMER FNP PMHNP NPI 1598392375

NPI Information

  • NPI: 1598392375
  • Provider Name: TESHEIKA NAVOY BOOMER, FNP, PMHNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 203 CROCKETT RIDGE CT E
    RICHLANDS, NC
    ZIP 28574
  • Phone: (910) 650-6592

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NPI Details

Tesheika Navoy Boomer, FNP, PMHNP is a family nurse practitioner in Richlands, NC with 7 years of experience. Tesheika Navoy Boomer, FNP, PMHNP NPI is 1598392375. 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:

203 CROCKETT RIDGE CT E
RICHLANDS, NC
ZIP 28574-471
Phone: (910) 650-6592
Fax: (910) 597-1689

The NPI 1598392375 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 3/24/2020 and was last updated on 10/3/2025.

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
1363LF0000XNurse PractitionerFamilyF12190403NORTH CAROLINAYes
2363LP0808XNurse PractitionerPsychiatric/Mental Health2022091499NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15013170OTHERNORTH CAROLINANC STATE LICENCES

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: 3/30/2025

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