Abigail Jane Boente

Key facts

NPI

1770140089

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

Practice address

843 S Broadway
Lexington, KY 40504-2790

Phone

(859) 421-3695

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2019.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1770140089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042790",
            "telephone_number": "859-421-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENTE",
        "first_name": "ABIGAIL",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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