JEFFREY E BOATMAN (NPI# 1265570592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265570592 |
| Entity Type | Individual |
| Full Name | JEFFREY E BOATMAN |
| Credential | MSN, RN |
| Practice Address |
1201 Bellevue Ave Saint Louis MO 63117-1701 |
| Mailing Address |
5000 Cedar Plaza Pkwy Suite 350 Saint Louis MO 63128-3854 |
| Practice Telephone | 3146474488 |
| Practice Fax Number | 3146476305 |
| Mailing Telephone | 3148434333 |
| Mailing Fax Number | 3148434856 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
118805 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 423840123 | 05 |
| Street Address |
1201 BELLEVUE AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144246380 | Katherine P. Buchowski | Psychiatry & Neurology | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2006-07-14 |
| 1326693904 | Jesus Ligot Md LLC | Clinic/Center | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2019-08-09 |
| 1811417363 | Richard Yakimo | Nurse Practitioner | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2017-06-26 |
| 1699129106 | Shelby Arsenault | Social Worker | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2016-04-20 |
| 1023310869 | Teresa A Brown | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2010-11-30 |
| 1104028950 | Educational & Psychological Svcs LLC | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-06-04 |
| 1194863431 | Theresa C Kormos | Clinical Nurse Specialist | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1902944259 | Peggy A Szwabo | Social Worker | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1790823060 | Sky, LLC | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1699813972 | J Russell Hyken | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699053413 | Matrix Psychiatric Home Care | Clinical Nurse Specialist | 5026 E Concord Rd, Saint Louis, MO 63128-1821 | 2011-07-27 |
| 1477697746 | Laura E. Romer | Clinical Nurse Specialist | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2007-02-19 |
| 1689967721 | Shari Lynn Helbig | Clinical Nurse Specialist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2011-05-23 |
| 1700012671 | Lora Ramona Hughes | Clinical Nurse Specialist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2009-06-05 |
| 1972759231 | Ronda Lynn Keeney | Clinical Nurse Specialist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2008-08-18 |
| 1194863431 | Theresa C Kormos | Clinical Nurse Specialist | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1982634168 | Sherry Doney | Clinical Nurse Specialist | 6651 Chippewa St, Suite 224, Saint Louis, MO 63109-2538 | 2006-07-04 |
| 1669462933 | Donna M Graham | Clinical Nurse Specialist | 5000 Cedar Plaza Pkwy, Suite 350, Saint Louis, MO 63128-3854 | 2005-10-26 |
| 1609875376 | Jo Ann Shew | Clinical Nurse Specialist | 763 S New Ballas Rd, Suite 110, Saint Louis, MO 63141-8704 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619268703 | Linda K Huber | Clinical Nurse Specialist | 4321 Washington Medical Plaza IIi, Suite 5100, Kansas City, MO 64111 | 2011-04-25 |
| 1437169166 | Marilyn Heppner Janzen | Clinical Nurse Specialist | 921 E 34th St, Joplin, MO 64804-3933 | 2006-08-08 |
| 1265419477 | Janet S. Murdick | Clinical Nurse Specialist | 807 Collins Dr, Festus, MO 63028-2346 | 2005-12-29 |
| 1134784093 | Jeana Renee Wilcox | Clinical Nurse Specialist | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-05-07 |
| 1821313081 | Express Psych, LLC | Clinical Nurse Specialist | 2727 E 32nd St, Suite 9, Joplin, MO 64804-3156 | 2010-03-31 |
| 1003933631 | Nancy M. Birtley, LLC | Clinical Nurse Specialist | 6209 Mid Rivers Mall Dr, #317, Saint Peters, MO 63304-1102 | 2007-03-26 |
| 1972697696 | Jacquelyn Marie Wooldridge | Clinical Nurse Specialist | 3901 E 32nd St, Joplin, MO 64804-3312 | 2006-10-03 |
| 1548276587 | Sandra Beth Malone | Clinical Nurse Specialist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2006-07-31 |
| 1114982626 | Rick Sharp | Clinical Nurse Specialist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-04-18 |
| 1861457467 | Steven Koeppel | Clinical Nurse Specialist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-04-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.