Active NPI
Melody L. Boone, CNP
- Family Nurse Practitioner
- Newark, OH
National Provider Identifier
1528077245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP08029
- Practice address
- 245 Deo Dr
Newark, OH 43055-3022 - Phone
- (740) 364-7013
- Fax
- (740) 364-7012
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP08029 | OH | Primary |
Addresses
Primary practice location
245 Deo Dr
Newark, OH 43055-3022
Mailing address
245 Deo Dr
Newark, OH 43055-3022
Phone (740) 297-1124
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP08029 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry County Family Practice, Inc. | Past | Accepting new patients | |
| Perry County Family Practice, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- New Lexington, OH
- NPI 1003088790
-
- Rural Health Clinic/Center
- New Lexington, OH
- NPI 1174792014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1528077245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 DEO DR",
"city": "NEWARK",
"state": "OH",
"postal_code": "430553022",
"telephone_number": "740-297-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 DEO DR",
"city": "NEWARK",
"state": "OH",
"postal_code": "430553022",
"telephone_number": "740-364-7013",
"fax_number": "740-364-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "MELODY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP08029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.