Ruth Ellen Boynton, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN 7766 Issued in TN

Practice address

3062 Main St
Pikeville, TN 37367-5746

Phone

(423) 447-2955

Fax

(423) 447-2405

NPI assigned

Dec 13, 2005

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

Other identifiers 1

Other names 1

• Ms. Ruth Ellen Boynton Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acute Care Clinics of America, LLCGroup PAC ID 6305273392, 8 clinicians

Pikeville Urgent Care PLLCGroup PAC ID 4688981632, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Pikeville Clinic, LLC

  • Family Nurse Practitioner
  • Pikeville, TN
  • NPI 1639472137

  Operational/Managerial Control

  CMS ownership

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.

• Pikeville Urgent Care, PLLC

  • Rural Health Clinic/Center
  • Pikeville, TN
  • NPI 1316321953
  Medicare reassignment Care Compare group NPD Authorized official
• Acute Care Clinics of America, LLC

  • General Practice Physician
  • Jamestown, TN
  • NPI 1780235564
  Medicare reassignment Care Compare group NPD
• Primary Care of Jamestown, LLC

  • Rural Health Clinic/Center
  • Jamestown, TN
  • NPI 1215717772
  Medicare reassignment NPD
• Charles P Bownds MD PC

  • Primary Care Clinic/Center
  • Pikeville, TN
  • NPI 1629260963
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1922083930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "PIKEVILLE",
            "state": "TN",
            "postal_code": "373670190",
            "telephone_number": "423-447-2992",
            "fax_number": "423-447-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 MAIN ST",
            "city": "PIKEVILLE",
            "state": "TN",
            "postal_code": "373675746",
            "telephone_number": "423-447-2955",
            "fax_number": "423-447-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "RUTH",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN 7766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509816",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "BOYNTON",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "MSN, APN-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffery Vaughan Atkins, M.D.
• Bko Stephens Inc.
• Bledsoe County Nursing Home
• Bledsoe County Schools
• Kathy Boynton, SL
• Julie Mae Brewer, M.D.
• Melissa Joyce Britt, RN
• Garrett Blake Carver, DPH
• Charles P Bownds MD PC
• Chattanooga Hamilton County Hospital Authority

• Nurse Practitioner in Pikeville, TN
• Providers in Pikeville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.