Susan Boever, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

075848 Issued in MO

Practice address

10200 State Line Rd
Leawood, KS 66206-2375

Phone

(913) 601-5886

NPI assigned

Dec 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Pathlight Home Care

  • In Home Supportive Care Agency
  • Leawood, KS
  • NPI 1962161174
  NPD

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1710646930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N CHARLTON RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640564120",
            "telephone_number": "816-718-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062375",
            "telephone_number": "913-601-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEVER",
        "first_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "075848",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MO",
            "license": "075848",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "MO",
            "license": "075848",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MO",
            "license": "075848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Bock
• Taylor R Bock, M.S., CCC-SLP
• Bodywerkz LLC
• David Adam Boender, D.C.
• Audrey Boessen
• Grace Bolamperti
• Judith Ann Bolton, CRNA
• Sean Bonanni, MD
• Susan K Bonar, M.D.
• Kenneth A. Bono, O.D.

• Administrator Registered Nurse in Leawood, KS
• Providers in Leawood, KS by specialty
• Administrator Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.