Kimber Ann Boonmast, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11022921 Issued in FL

Practice address

12385 Sorrento Rd Ste A4
Pensacola, FL 32507-8656

Phone

(850) 602-0828

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

Yes

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1508576398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16608 N SHORE CV",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078326",
            "telephone_number": "386-837-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD STE A4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078656",
            "telephone_number": "850-602-0828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16608 N Shore Cv",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325078326",
            "country_code": "US",
            "telephone_number": "386-837-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONMAST",
        "first_name": "KIMBER",
        "middle_name": "ANN",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Francis Bonnin, DMD
• Darresha Booker
• Jordan Lynn Booker, DC
• Lilliane Booker
• Constance Reeves Bookman, LCSW
• Diana Born, M. ED.
• Irina Born
• Ethel Borrego
• Michael A Borunda, MD
• Christopher J. Bosarge, M.D.

• Family Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.