Audrey Lynn Boeken, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2690 Issued in KS

Practice address

929 N St Francis St
Wichita, KS 67214-3821

Phone

(316) 777-7193

NPI assigned

Aug 31, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1649990441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 N REDBUD CT",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671473215",
            "telephone_number": "785-531-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N ST FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-777-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKEN",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "x",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "x",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "929 N St Francis St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Body Medical HHA
• Body Shop Chiropractic, LLC
• Bodyworx Health Care Services, P.a.
• Bodyworx Physical Therapy, P.a.
• Katie Boedeker, DPT
• Kara Esther Boelk, LMSW
• Paula Susanne Boese, PT
• Kalyn Kelley Boesen, LMSW-T
• Jeffrey Bogard, MD
• Courtney Bogart, LMSW-T

• Registered Dietitian in Wichita, KS
• Providers in Wichita, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.