KATHRYN DENISE BOOMER (NPI# 1891270674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891270674 |
| Entity Type | Individual |
| Full Name | KATHRYN DENISE BOOMER |
| Other Name | KATHRYN D BENDER |
| Credential | PA-C |
| Practice Address |
929 St. Francis N Wichita KS 67214 |
| Mailing Address |
1100 N Saint Francis St Fl 4 Wichita KS 67214-2878 |
| Practice Telephone | 3162685000 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-02145 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
929 ST. FRANCIS N |
| City | WICHITA |
| State | KS |
| Zip Code | 67214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| 1659717023 | Paige Harwell | Surgery | 818 N Emporia St Ste 303, Wichita, KS 67214 | 2013-05-13 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1578847182 | Wellness Strategies LLC | Physician Assistant | 6224 East Shadybrook St., Wichita, KS 67208 | 2011-09-30 |
| 1346378460 | Gretchen H Waite | Physician Assistant | 1515 S Clifton Ave Ste 450, Wichita, KS 67218-2954 | 2007-03-01 |
| 1023153012 | James W Strickler | Physician Assistant | 2600 N. Woodlawn, Wichita, KS 67220-2729 | 2007-02-20 |
| 1730288861 | Kathryn S. Wolfe-wappelhorst | Physician Assistant | 2750 S Roosevelt St, Hunter Health Brookside Clinic, Wichita, KS 67210-1304 | 2006-09-22 |
| 1235242298 | Sarah Lindsey | Physician Assistant | 2716 W.central, Wichita, KS 67203-4904 | 2006-08-16 |
| 1013927342 | Paul Medina | Physician Assistant | 1911 W 21st St N, Wichita, KS 67203-2106 | 2006-08-09 |
| 1700809498 | Jennifer Smith | Physician Assistant | 8020 E Central Ave Ste 200, Wichita, KS 67206-2382 | 2006-07-25 |
| 1477517696 | Katrina N Hinds | Physician Assistant | 7570 W 21st St N Ste 1006b, Wichita, KS 67205-1773 | 2006-04-14 |
| Find all providers in WICHITA | ||||
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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.