KELLY FRANCES BOEING (NPI# 1861746505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861746505 |
| Entity Type | Individual |
| Full Name | KELLY FRANCES BOEING |
| Credential | PA |
| Practice Address |
817 Commercial St Leavenworth WA 98826-1316 |
| Practice Telephone | 5095483420 |
| Mailing Telephone | 0954834205 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA160585 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
817 COMMERCIAL ST |
| City | LEAVENWORTH |
| State | WA |
| Zip Code | 98826-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870476 | Tony W Butruille | Family Medicine | 817 Commercial St, Leavenworth, WA 98826-1316 | 2005-06-09 |
| 1922642768 | Aisha Houghton | Social Worker | 817 Commercial St, Leavenworth, WA 98826-1316 | 2019-11-05 |
| 1356873574 | Katelin Grace Toevs | Dietitian, Registered | 817 Commercial St, Leavenworth, WA 98826-1316 | 2017-03-28 |
| 1154504975 | Linda L. Hartman | Dietitian, Registered | 817 Commercial St, Leavenworth, WA 98826-1316 | 2007-12-14 |
| 1528050309 | Chelan County Public Hospital District No. 1 | Medicare Defined Swing Bed Unit | 817 Commercial St, Leavenworth, WA 98826-1316 | 2005-08-18 |
| 1437141215 | Chelan County Public Hospital District No. 1 | Clinic/Center | 817 Commercial St, Leavenworth, WA 98826-1316 | 2005-08-18 |
| 1730186420 | Maury Daniel Hafermann | Family Medicine | 817 Commercial St, Leavenworth, WA 98826-1316 | 2005-07-07 |
| 1588668925 | John R Deliduka | Emergency Medicine | 817 Commercial St, Leavenworth, WA 98826-1316 | 2005-06-13 |
| 1316941727 | Geoffrey Dana Richardson | Family Medicine | 817 Commercial St, Leavenworth, WA 98826-1316 | 2005-06-13 |
| 1962406389 | Chelan County Public Hospital District No. 1 | General Acute Care Hospital | 817 Commercial St, Leavenworth, WA 98826-1316 | 2005-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164053062 | Upper Valley Cares | Clinic/Center | 225 Prospect Street, Leavenworth, WA 98826 | 2020-01-29 |
| 1942855648 | Gayle Bean Holeton | Dance Therapist | 7098 Icicle Rd., Leavenworth, WA 98826 | 2019-08-08 |
| 1104394824 | Lydia Alice Zajackowski | Chiropractor | 1500 Alpensee Strasse, Leavenworth, WA 98826 | 2018-11-12 |
| 1154766293 | Karly Dawn Swanson | Massage Therapist | 505 Hwy 2 Ste. 100, Leavenworth, WA 98826 | 2013-05-02 |
| 1295905917 | Lynnel Kaye Miller | Massage Therapist | 505 Us Highway 2, Leavenworth, WA 98826 | 2008-03-10 |
| 1457569956 | Mary Jo Digesu Bartholomew | Massage Therapist | 9349 E Leavenworth Rd, Leavenworth, WA 98826 | 2007-05-18 |
| 1609945609 | Lynn A. Chadd | Nurse Practitioner | 283 Us Highway 2, Space C, Leavenworth, WA 98826 | 2006-11-06 |
| 1629163761 | Cascade School District | Local Education Agency (LEA) | 330 Evans Street, Leavenworth, WA 98826 | 2006-10-04 |
| 1033288436 | Thomas A Stanton | Chiropractor | 1500 Alpensee St, Leavenworth, WA 98826-0426 | 2006-11-07 |
| 1770037756 | Diana Runions | Specialist/Technologist | 424 Ski Hill Dr, Leavenworth, WA 98826-1037 | 2016-08-08 |
| Find all providers in zip 98826 | ||||
| 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 |
|---|---|---|---|---|
| 1467655407 | Ronald W Egli | Physician Assistant | 100 Highway Terrace, Lvn Detention Center, Leavenworth, KS 66048 | 2007-06-07 |
| 1730293978 | Kristina S. Gunter | Physician Assistant | 368 West Old Hwy 62, Leavenworth, IN 47137 | 2006-08-17 |
| 1487026449 | Appaloosa Emergency Physicians, LLC | Physician Assistant | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2015-10-29 |
| 1316330988 | Jill Marie Davis | Physician Assistant | 500 Limit St, Leavenworth, KS 66048-4435 | 2015-03-06 |
| 1528019643 | Janet Jones | Physician Assistant | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-05-13 |
| 1588629513 | Richard Henry Sloan | Physician Assistant | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-04-20 |
| 1346203072 | Chester B. Kozak II | Physician Assistant | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-04-12 |
| 1538122908 | Jennifer Carole Mcgoldrick | Physician Assistant | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-04-07 |
| 1629037890 | Frank Piper Jr. | Physician Assistant | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-03-17 |
| 1093783599 | Jarod Joseph Marcotte | Physician Assistant | 3550 S 4th St, Ste 200, Leavenworth, KS 66048 | 2006-03-09 |
| Find all providers in LEAVENWORTH | ||||
| City | LEAVENWORTH |
| Zip Code | 98826 |
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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.