Active NPI
Kasie Boehm
- Social Worker
- Pinellas Park, FL
National Provider Identifier
1457862377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3491 Gandy Blvd N Ste 201
Pinellas Park, FL 33781-2654 - Phone
- (727) 547-0607
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3491 Gandy Blvd N Ste 201
Pinellas Park, FL 33781-2654
Mailing address
8168 24TH Ave N
St Petersburg, FL 33710-3624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1457862377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8168 24TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337103624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3491 GANDY BLVD N STE 201",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337812654",
"telephone_number": "727-547-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHM",
"first_name": "KASIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.