Individual provider Active NPI

Sheena Boury, M.D

  • Family Medicine Physician
  • Ft Wright, KY
National Provider Identifier
1366697393
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44550 Issued in KY
Practice address
1717 Dixie Hwy Ste 970
Ft Wright, KY 41011-2791
Phone
(859) 320-9300
Fax
(859) 320-9301
NPI assigned
Nov 18, 2008
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44550 KY Primary

Addresses

Primary practice location

1717 Dixie Hwy Ste 970
Ft Wright, KY 41011-2791

Mailing address

1717 Dixie Hwy Ste 970
Ft Wright, KY 41011-2791
Phone (859) 320-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 31, 2024 through Dec 31, 2026

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44550KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Embody Health PLLC CurrentSince May 4, 2025 Accepting new patients

Locations

1717 Dixie Hwy
Ste 970
Ft Wright, KY 41011
Phone (859) 320-9300

Organizations & group practices 2

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1366697393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 DIXIE HWY STE 970",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112791",
            "telephone_number": "859-320-9300",
            "fax_number": "859-320-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 DIXIE HWY STE 970",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112791",
            "telephone_number": "859-320-9300",
            "fax_number": "859-320-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURY",
        "first_name": "SHEENA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "44550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

Verify at the official NPI Registry.