DR. KIMBERLY AFTON BOONE (NPI# 1376195594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376195594 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY AFTON BOONE |
| Credential | MD |
| Practice Address |
1350 Concourse Ave Ste 142 Memphis TN 38104-4570 |
| Practice Telephone | 9012720003 |
| Practice Fax Number | 9077228078 |
| Mailing Telephone | 9017012032 |
| Mailing Fax Number | 9077228078 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3191 | TN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487904983 | Kimberly Breda Boone | Pharmacist | 301 N. Main Street, Summerville, SC 29485 | 2012-09-12 |
| 1124264171 | Kimberly Boone | Counselor | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2008-12-22 |
| 1265517510 | Kimberly Dawn Boone | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2006-10-26 |
| Street Address |
1350 CONCOURSE AVE STE 142 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366740615 | Meredith Walsh | Registered Nurse | 1350 Concourse Ave Ste 142, Memphis, TN 38104-2020 | 2011-03-10 |
| 1316468887 | Lisa Liebschwager | Physical Therapist | 1350 Concourse Ave Ste 142, Memphis, TN 38104-2020 | 2017-07-05 |
| 1134640691 | Kimberly Ann Lambert | Physical Therapist | 1350 Concourse Ave Ste 142, Memphis, TN 38104-2020 | 2017-07-05 |
| 1831541978 | Kirsten Mcknight | Optometrist | 1350 Concourse Ave Ste 142, Memphis, TN 38104-2020 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022731 | Emily Faquin | Dietitian, Registered | 880 Madison Ave Fl 5, Memphis, TN 38103-3409 | 2020-04-22 |
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1982252524 | Whitney Nichole Trotter | Dietitian, Registered | 5578 Sweet Gum Dr, Memphis, TN 38134-6624 | 2019-08-27 |
| 1336706894 | Richard Starr | Dietitian, Registered | 1030 Jefferson Ave # Nfs120, Memphis, TN 38104-2127 | 2019-05-21 |
| 1518437235 | Margaret Bender | Dietitian, Registered | 3589 Johnwood Dr, Memphis, TN 38122-4549 | 2018-11-26 |
| 1629552633 | Leslie Carr Ely | Dietitian, Registered | 6263 Poplar Ave Ste 605, Memphis, TN 38119-4724 | 2018-09-17 |
| 1154827632 | Kristy Gibbons | Dietitian, Registered | 262 Danny Thomas Pl # Ms 732, Memphis, TN 38105-3678 | 2018-04-03 |
| 1114433943 | Abigail Currie Lenore Roche | Dietitian, Registered | 43 N Cleveland St, Memphis, TN 38104-2301 | 2017-12-15 |
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1952848038 | Ward Dietetics, LLC | Dietitian, Registered | 4561 Sequoia Ave, Memphis, TN 38117-1719 | 2017-01-26 |
| Find all providers in MEMPHIS | ||||
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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.