Individual provider Active NPI

Allison Garton Boehm, FNP-BC

  • Family Nurse Practitioner
  • Mount Juliet, TN
National Provider Identifier
1699064618
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15761 Issued in TN
Practice address
325 Old Pleasant Grove Rd
Mt Juliet, TN 37122-4493
Phone
(629) 255-2212
Fax
(629) 255-4245
NPI assigned
Mar 30, 2011
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15761 TN Primary

Addresses

Primary practice location

325 Old Pleasant Grove Rd
Mt Juliet, TN 37122-4493

Mailing address

222 22ND Ave N
Nashville, TN 37203-1870
Phone (629) 255-3486

Other identifiers 1

IdentifierTypeStateIssuer
Q029581MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141120000142 TN Practitioner - Nurse Practitioner 8426270810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians

Practice addresses (Care Compare)

5653 Frist Blvd
Suite 630
Hermitage, TN 37076-2094
Phone (629) 255-2097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15761TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Oct 1, 2019 Accepting new patients
Heritage Medical Associates PC CurrentSince Mar 14, 2022 Accepting new patients
Heritage Medical Associates PC CurrentSince Mar 14, 2022 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Oct 1, 2019 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3901 Central Pike
Ste 351
Hermitage, TN 37076
Phone (615) 889-8802

5653 Frist Blvd
Ste 630
Hermitage, TN 37076
Phone (615) 391-3971

325 Old Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (629) 255-3486

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: allisonboehm@hma.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1699064618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031870",
            "telephone_number": "629-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 OLD PLEASANT GROVE RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224493",
            "telephone_number": "629-255-2212",
            "fax_number": "629-255-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "ALLISON",
        "middle_name": "GARTON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029581",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.