ANGELA RENEE BOONE (NPI# 1225454507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225454507 |
| Entity Type | Individual |
| Full Name | ANGELA RENEE BOONE |
| Credential | NP ADULT GERIATRIC |
| Practice Address |
405 Thompson St Eden NC 27288-5045 |
| Practice Telephone | 3366274896 |
| Practice Fax Number | 3366270139 |
| Mailing Telephone | 3366274896 |
| Mailing Fax Number | 3366270139 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5006739 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
5006739 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033406962 | Angela M Boone | Social Worker | 308 Gatehouse Ln Apt D, Odenton, MD 21113-2689 | 2011-06-29 |
| 1235364811 | Angela Bourque Boone | Speech-Language Pathologist | 398 Sandpiper Pl, Sunset, LA 70584-5409 | 2009-05-26 |
| 1639566276 | Angela Faith Boone | Social Worker | 121 E Broadway Blvd, Sedalia, MO 65301-5800 | 2015-04-21 |
| 1649458258 | Angela Luzio Boone | Psychologist | 7019 Backlick Ct, Springfield, VA 22151-3903 | 2008-02-06 |
| Street Address |
405 THOMPSON ST |
| City | EDEN |
| State | NC |
| Zip Code | 27288-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023079043 | Keavie C. Hairfield | Nurse Practitioner | 405 Thompson St, Eden, NC 27288-5045 | 2006-03-29 |
| 1619522414 | Taylor Beth Woodson | Nurse Practitioner | 405 Thompson St, Eden, NC 27288-5045 | 2019-08-08 |
| 1821641002 | Mackenzie Barham | Nurse Practitioner | 405 Thompson St, Eden, NC 27288-5045 | 2019-07-17 |
| 1275773954 | Eden Internal Medicine Pllc | Physician Assistant | 405 Thompson St, Eden, NC 27288-5045 | 2009-02-20 |
| 1730288895 | Eden Internal Medicine Pllc | Internal Medicine | 405 Thompson St, Eden, NC 27288-5045 | 2006-09-22 |
| 1730287020 | Ashish C Shah | Internal Medicine | 405 Thompson St, Eden, NC 27288-5045 | 2006-09-20 |
| 1437257706 | Dhruv B Vyas | Internal Medicine | 405 Thompson St, Eden, NC 27288-5045 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669669594 | Brenda Windemuth Crnp LLC | Nurse Practitioner | 3580 Redden Ferry Rd, Eden, MD 21822-2232 | 2007-09-25 |
| 1083053011 | Betty J Marshall | Nurse Practitioner | 518 S Van Buren Rd, Ste 2, Eden, NC 27288-5033 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260451 | Jo Ellen Inman-puckett | Nurse Practitioner | 31 Swiss Pine Ct, Spruce Pine, NC 28777-8704 | 2020-09-16 |
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1255959573 | Kathryn Allman | Nurse Practitioner | 104 Brighton Ct, Chapel Hill, NC 27516-9005 | 2020-07-13 |
| 1326665142 | Mary Ann Todd | Nurse Practitioner | 5508 7 Lks W, West End, NC 27376-9336 | 2020-06-27 |
| 1538785118 | Amanda S. Morgan | Nurse Practitioner | 600 Hospital Dr Ste 9, Clyde, NC 28721-8046 | 2020-06-19 |
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1265055271 | Pamela Duncan | Nurse Practitioner | 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 | 2020-05-26 |
| 1689297715 | Heather Bryce Futrell | Nurse Practitioner | 115 Joe Kanaris Rd, Rockingham, NC 28379-8063 | 2020-05-23 |
| 1871116103 | Lynn Chanell Hicks | Nurse Practitioner | 3221 Nontucket Ln, Hope Mills, NC 28348-9054 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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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.