Laurie K Boehm, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9103644 Issued in FL

Practice address

2428 Jenks Ave
Panama City, FL 32405-4304

Phone

(850) 215-6008

Fax

(850) 215-6020

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: laurie.boehm@hca5.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1013090018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054304",
            "telephone_number": "850-215-6008",
            "fax_number": "850-215-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054304",
            "telephone_number": "850-215-6008",
            "fax_number": "850-215-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "LAURIE",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LAURIE.BOEHM@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7720 US Highway 98 W",
            "address_2": "SUITE 110",
            "city": "Miramar Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325507230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bobbi D Baker MD PA
• Nikitta Ashley Bobzien, R.T. (R)
• Dalton Paige Bodiford
• Donna Gail Bodner, CRNA
• Body Alliance Massage Studio LLC
• Brian Douglas Boehman, PHD
• Monica Boehnke
• Lisa M Boer, LMHC
• Carol Bohac
• Aimee R Bohn, MD

• Medical Physician Assistant in Panama City, FL
• Providers in Panama City, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.