JENNIFER JO BOONE (NPI# 1518102201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518102201 |
| Entity Type | Individual |
| Full Name | JENNIFER JO BOONE |
| Credential | PA-C |
| Practice Address |
6040 W 84th St Indianapolis IN 46278-1360 |
| Mailing Address |
909 N Grant St Lebanon IN 46052-1942 |
| Practice Telephone | 3179566288 |
| Mailing Telephone | 2607265656 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2013-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9104712 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780185249 | Jennifer Boone | Licensed Vocational Nurse | 26 Avrshire Ln, Temple, TX 76502-7509 | 2018-02-21 |
| 1366637597 | Jennifer Ross Boone | Social Worker | 1 Huntington Rd Ste 703, Athens, GA 30606-7214 | 2007-09-11 |
| 1396742680 | Jennifer L Boone | Counselor | 1808 T St Nw, Washington, DC 20009-7126 | 2005-07-01 |
| 1770197444 | Jennifer Noelle Boone | Physical Therapist | 638 Brandywine Pkwy, West Chester, PA 19380-4278 | 2020-09-01 |
| 1235652629 | Jennifer Boone | Registered Nurse | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2017-07-18 |
| 1992256861 | Jennifer Boone | Nurse Practitioner | 1700 Canton St, Hopkinsville, KY 42240-1923 | 2016-10-17 |
| 1275719163 | Jennifer Payne Boone | Counselor | 39 Nw Louisiana Ave, Bend, OR 97701-3203 | 2008-01-10 |
| 1447459730 | Jennifer Boone | Psychologist | 1270 Natividad Rd, Room 200, Salinas, CA 93906-3122 | 2007-07-16 |
| Street Address |
6040 W 84TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356316905 | Cheryl Montague | Specialist/Technologist | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2006-02-17 |
| 1831678374 | Deborah Ann Wise | Physical Therapist | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2018-08-07 |
| 1386121382 | Megan Kathleen Boland | Physical Therapist | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2018-07-23 |
| 1932686243 | Elizabeth Mary Staubach | Physical Therapist | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2018-07-20 |
| 1225514607 | Casey Leigh Wallace | Physical Therapist | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2018-07-18 |
| 1508272352 | John Reynolds | Nurse Practitioner | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2014-07-01 |
| 1871932756 | Wendy N Wright-parker | Nurse Practitioner | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2013-06-24 |
| 1649525205 | Laura A Stowell | Nurse Practitioner | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2012-07-19 |
| 1457648388 | Amy Creasap | Nurse Practitioner | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2011-06-29 |
| 1568759546 | Sue Nonweiler | Physician Assistant | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2011-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1639797004 | John Padraic Allbritton | Physician Assistant | 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 | 2020-07-11 |
| 1154949907 | Jonathon Michael Hirsch | Physician Assistant | 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 | 2020-07-08 |
| 1437776838 | Megan Leanna Reynolds | Physician Assistant | 3841 Rookwood Ave, Indianapolis, IN 46208-3926 | 2020-07-01 |
| 1669099412 | Alisa Elaine Schrump | Physician Assistant | 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 | 2020-06-28 |
| 1144846148 | Melanie M. Herrold | Physician Assistant | 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 | 2020-06-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
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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.