Shelly Renee Boatright

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

29573 Issued in KS

Practice address

2200 SW Gage Blvd
Topeka, KS 66622-0001

Phone

(785) 350-3111

NPI assigned

Apr 14, 2023

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1497441232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666220001",
            "telephone_number": "785-350-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666220001",
            "telephone_number": "785-350-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "SHELLY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KS",
            "license": "74394",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "KS",
            "license": "29573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn L Bloom, PT
• Allison Jill Blough, MD, MSW
• Sarah Bloxsom
• Bluestem Emergency Care, P.a.
• Stephen H Blum, PH.D.
• Nicole Bocanegra Morteo
• Kierston N Bocquin, APRN CNM
• Tiffany A Bodenhamer, APRN
• Jessica A Boehle, ACNP
• Douglas Lynn Boehr, D.C.

• Licensed Vocational Nurse in Topeka, KS
• Providers in Topeka, KS by specialty
• Licensed Vocational Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.