Kboose

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KBOOSE

Doing business as

Kboose

Practice address

3008 Juneberry Ave SE
Grand Rapids, MI 49508-1523

Phone

(616) 228-3324

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annie M Young

Title

Ceo

Phone

(616) 228-3324

Specialties & licenses 1

Addresses

Other names 1

• Kboose Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1255990552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 JUNEBERRY AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081523",
            "telephone_number": "616-228-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 JUNEBERRY AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081523",
            "telephone_number": "616-228-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBOOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-228-3324"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@kboose.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3008 Juneberry Ave SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495081523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@kboose.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3008 Juneberry Ave SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495081523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kboose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sasha Kay, BCBA
• Kayla Pacic Counseling Services, PLLC
• Amanda Kaza, NP
• Bashar Faiez Kazanji, MD
• KB Family Dentistry PLC
• Monique Kean, RN
• Tammie Ann Keane, CRNA
• John Raymond Kearney, PAC
• Aubrey Keas, PA-S
• Kaitlyn Keating

• Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.