Amanda F Boone, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

88888 Issued in TN

Practice address

219 Princeton Rd
Johnson City, TN 37601-2052

Phone

(423) 975-2200

NPI assigned

Feb 20, 2018

Last updated

Feb 20, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1487154019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15810 KINGSPORT HWY",
            "city": "CHUCKEY",
            "state": "TN",
            "postal_code": "376413651",
            "telephone_number": "423-525-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 PRINCETON RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012052",
            "telephone_number": "423-975-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "AMANDA",
        "middle_name": "F",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "88888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Raastad Bonham, MA
• Bedford W. Bonta, MD
• Bethany Nicole Booher, FNP
• Samantha Bookbinder, MD
• Eric Bookout, MD
• Boones Creek Dentistry
• Boones Creek Medical PLLC
• Boones Creek Pharmacy, Inc. (Boones Creek Pharmacy)
• Boones Creek Pharmacy, Inc.
• Sarah Elizabeth Boop, RN, MPH

• Licensed Practical Nurse in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.