Dondrea Bostick

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

23101 Issued in TN

Practice address

2101 Medical Center Way
Knoxville, TN 37920-3257

Phone

(865) 546-9221

NPI assigned

May 9, 2018

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Knox County Goverment

  • Public Health or Welfare Agency
  • Knoxville, TN
  • NPI 1225305600
  Medicare reassignment NPD
• Knox County Health Dept.

  • State or Local Public Health Clinic/Center
  • Knoxville, TN
  • NPI 1861795106
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1710476270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL CENTER WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203257",
            "telephone_number": "865-546-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL CENTER WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203257",
            "telephone_number": "865-546-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTICK",
        "first_name": "DONDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "TN",
            "license": "23101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Richmond Borum, PMHNP
• Josilyn R Borum, BCBA, LBA
• Allison Cheyenne Boshears
• Brandi Bosman, CCC-SLP
• Matej Bosnjak, FNP-BC
• Curt Boston
• Beth Bostrom
• Sarah A Boswell, PHARMD
• Boswellyn Inc
• Boswellyn Inc

• Community Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Community Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.