Courtney Onan

Individual provider Active NPI Family Nurse Practitioner · Philpot, KY

NPI 1780332007 · NPPES record last updated Mar 15, 2022

Key facts

NPI
1780332007
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
3017525 (KY)
Practice address
6071 Highway 54
Philpot, KY 42366-9642
Phone
(270) 173-0177
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220329000112 KY Practitioner - Nurse Practitioner 8820483902

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3017525KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Boarman FNP PLLC Family Current
since Apr 18, 2022
Accepting new patients

Locations

6071 Highway 54
Philpot, KY 42366
Phone (270) 685-9499

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017525 KY Yes

Addresses

Primary practice location

6071 Highway 54
Philpot, KY 42366-9642

Mailing address

3030 Creek Branch CV
Owensboro, KY 42303-4461
Phone (270) 903-1090

Other identifiers

IdentifierTypeStateIssuer
3017525OtherKYAPRN NUMBER

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lindaboarmanfnp@outlook.com

Other providers in Philpot, KY

All providers in Philpot, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.