Keiko Bovee, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

32651 Issued in TN

Practice address

1646 Russell Ave
Jefferson City, TN 37760-2204

Phone

(865) 471-2000

NPI assigned

Oct 7, 2022

Last updated

Oct 7, 2022By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1659096063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 FOREST OASIS LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381356245",
            "telephone_number": "951-775-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 RUSSELL AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602204",
            "telephone_number": "865-471-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVEE",
        "first_name": "KEIKO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32651",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lafayette Blevins, PHD
• Mark James Blosser, PHARMACIST
• Ida Mae Boatman-Goussios, LPC
• Madison Stephens Boles, MD
• Miguel A Bonet, DPH
• Morgan Frazier Bowlin, LPC-MHSP
• Broken Arrow (Broken Arrow LLC)
• Lisa Carol Bryant, MSN,FNP-BC
• Carly Budiac
• Angela Brooke Burkhalter, PA

• Family Nurse Practitioner in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.