Jennifer Boner

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

5150 Stilesboro Rd NW Ste 430
Kennesaw, GA 30152-7759

Phone

(770) 218-2300

NPI assigned

Dec 4, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1962049437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW STE 430",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527759",
            "telephone_number": "770-218-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW STE 430",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527759",
            "telephone_number": "770-218-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONER",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donnas@pathfinderpediatrics.com",
            "affiliation": "N",
            "address_1": "2998 Christophers Ct",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300621631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erwin Otto Boehringer, D.C.
• Kristina Nichole Bogar, D.O.
• Leigh Anne Bohacek, MPT
• Abby Caudle Bohler, AU.D.
• Sarah B. Bolick, PA
• Laura Bonin, DPT
• Lechandre Bonner
• Amber Booth, RBT
• Born Again Chiropractic
• Maria Isabella Bourjolly

• All providers in Kennesaw, GA
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.