Active NPI
Hans M Boehm, NPP
- Psychiatric/Mental Health Nurse Practitioner
- Kingston, NY
National Provider Identifier
1053379966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400462
- Practice address
- 105 Mary's Avenue
Kingston, NY 12401 - Phone
- (845) 338-2500
- Fax
- (845) 334-3172
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400462 | NY | Primary |
Addresses
Primary practice location
105 Mary's Avenue
Kingston, NY 12401
Mailing address
185 Green Street
Ste 2
Kingston, NY 12401
Phone (845) 339-3736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- hboehm97197@albanymed.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1053379966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 GREEN STREET",
"address_2": "STE 2",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12401",
"telephone_number": "845-339-3736",
"fax_number": "845-339-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MARY'S AVENUE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12401",
"telephone_number": "845-338-2500",
"fax_number": "845-334-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHM",
"first_name": "HANS",
"middle_name": "M",
"credential": "NPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.