Skylar Jo Freeman Boose

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

301 Fisher St
Biloxi, MS 39534-2508

Phone

(228) 376-3317

NPI assigned

May 15, 2025

Last updated

May 15, 2025By the provider in NPPES

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

Other names 1

• Skylar Jo Freeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1184415366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 BLACKBEAD RD",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628393810",
            "telephone_number": "618-843-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOSE",
        "first_name": "SKYLAR",
        "middle_name": "JO FREEMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKYLAR",
            "last_name": "FREEMAN",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carissa Martine Bolden, NP
• Hasani K Bolden
• Kayla Bolt
• Bond and Bloom Counseling, PLLC
• Robert J Bonhomme, MD
• William C. Booth Jr., PA-C
• Alexandria Borden, PHARM.D.
• Andrew Borho, PA-C
• Kaitlin Borri
• Susan Boston, M.D.

• Student in an Organized Health Care Education/Training Program in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Student in an Organized Health Care Education/Training Program in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.