Active NPI
Kyle Boatwright, LP
- Perfusionist
- Asheville, NC
National Provider Identifier
1083177448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 1000-00619
- Practice address
- 257 McDowell St Ste 300
Asheville, NC 28803-2606 - Phone
- (282) 258-1121
- NPI assigned
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | 1000-00619 | NC | Primary |
Addresses
Primary practice location
257 McDowell St Ste 300
Asheville, NC 28803-2606
Mailing address
257 McDowell St Ste 300
Asheville, NC 28803-2606
Phone (282) 258-1121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000-00619 | NC | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1083177448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 MCDOWELL ST STE 300",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032606",
"telephone_number": "282-258-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 MCDOWELL ST STE 300",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032606",
"telephone_number": "282-258-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATWRIGHT",
"first_name": "KYLE",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "NC",
"license": "1000-00619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.