Active NPI
Kathleen Bos, M.D.
- Rheumatology Physician
- Naples, FL
National Provider Identifier
1952795304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25196
- Practice address
- 4012 Old Trail Way
Naples, FL 34103-3542 - Phone
- (239) 272-3373
- NPI assigned
- Mar 24, 2015
- Last updated
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25196 | KY | Primary |
Addresses
Primary practice location
4012 Old Trail Way
Naples, FL 34103-3542
Mailing address
4012 Old Trail Way
Naples, FL 34103-3542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25196 | KY | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1952795304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 OLD TRAIL WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 OLD TRAIL WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033542",
"telephone_number": "239-272-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOS",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "KY",
"license": "25196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.