Individual provider Active NPI

Kara Boudreaux Turner, MSN,CPNP

  • Pediatric Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1073578340
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
9325399 Issued in FL
Practice address
621 W Baldwin Rd
Suite a
Panama City, FL 32405-3364
Phone
(850) 747-3661
Fax
(850) 747-0194
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 9325399 FL Primary

Addresses

Primary practice location

621 W Baldwin Rd
Suite a
Panama City, FL 32405-3364

Mailing address

621 W Baldwin Rd
Suite a
Panama City, FL 32405-3364
Phone (850) 747-3661

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
9325399FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Pediatrics & Adolescents Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1073578340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W BALDWIN RD",
            "address_2": "SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053364",
            "telephone_number": "850-747-3661",
            "fax_number": "850-747-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W BALDWIN RD",
            "address_2": "SUITE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053364",
            "telephone_number": "850-747-3661",
            "fax_number": "850-747-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KARA",
        "middle_name": "BOUDREAUX",
        "credential": "MSN,CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9325399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.