Melanie Boone, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95009479 Issued in CA

Practice address

352 Pollasky Ave Ste 207
Clovis, CA 93612-1187

Phone

(559) 770-4749

NPI assigned

Nov 9, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1275001026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 MORRIS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118535",
            "telephone_number": "559-770-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 POLLASKY AVE STE 207",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121187",
            "telephone_number": "559-770-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MELANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275001026",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siavash Bolourani
• Juyong Bong, M.D.
• Kelsey Allison Bonilla, MD
• Norman D Bontogon, CRNA
• Sydney Breana Boolootian I
• Stacy Marie Borchardt, LMFT
• Daniel Borgstadt, M.D.
• Peter Botros, DO
• Fouad Boulbol
• Anne Vinhan Boulom, RPH

• Nurse Practitioner in Clovis, CA
• Providers in Clovis, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.