Stacy Boulton, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

40489 Issued in KY

Practice address

6907 Burlington Pike
Florence, KY 41042-1618

Phone

(859) 525-1846

Fax

(859) 647-3355

NPI assigned

Apr 24, 2006

Last updated

Nov 26, 2007By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sboulton523997@direct.unc.nchie.net
• Direct secure messaging: sboulton7303@directhisp.wakemed.org

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1447216023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 BURLINGTON PIKE",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421618",
            "telephone_number": "859-525-1846",
            "fax_number": "859-647-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 BURLINGTON PIKE",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421618",
            "telephone_number": "859-525-1846",
            "fax_number": "859-647-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULTON",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35084722",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "35084722",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "40489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2494840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Boschert, MA, CCC-SLP
• McKenzie A Bosma, RBT
• Christopher Michael Boston I, LICENSED OPTICIAN
• Jonathan David Bott, D.M.D.
• Bryan Gerard Boudreaux, D.C.
• Keira Rose Bovard
• Mary Ann Bowlin, PA-C
• Michael L Bowlin, MD
• Brooke Bowling
• Christy Renee Bowling, APRN

• Obstetrics & Gynecology Physician in Florence, KY
• Providers in Florence, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.