Individual provider Active NPI

Ina Kay Bone

  • Primary Care Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1962485870
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN7279 Issued in TN
Practice address
2020 Brookside Dr
Suite 20
Kingsport, TN 37660-4633
Phone
(423) 247-7030
Fax
(423) 247-7033
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN7279 TN Primary

Addresses

Primary practice location

2020 Brookside Dr
Suite 20
Kingsport, TN 37660-4633

Mailing address

P.O. Box 4842
Johnson City, TN 37602
Phone (423) 247-7030

Other identifiers 1

IdentifierTypeStateIssuer
3342976MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcs.kbone@direct.slvrmc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20180626002348 CO Practitioner - Nurse Practitioner 4385633742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Citizens' Foundation for Health Care IncGroup PAC ID 7517951536, 25 clinicians

Practice addresses (Care Compare)

1033 2ND Ave
Monte Vista, CO 81144-1737
Phone (719) 852-8827

310 County Rd
14 Unit C
Del Norte, CO 81132-8759
Phone (719) 657-2418

310 County Rd
Suite 14
Del Norte, CO 81132

Hospital & facility affiliations

  • Rio Grande Hospital Hospital, Del Norte, CO, CCN 061301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7279TNMDSpeech-Language Pathologist
APN7279TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Jun 1, 2023 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

310 County Road 14
Unit C
Del Norte, CO 81132
Phone (719) 657-2418

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1962485870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4842",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37602",
            "telephone_number": "423-247-7030",
            "fax_number": "423-247-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BROOKSIDE DR",
            "address_2": "SUITE 20",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604633",
            "telephone_number": "423-247-7030",
            "fax_number": "423-247-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONE",
        "first_name": "INA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN7279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3342976",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcs.kbone@direct.slvrmc.org",
            "affiliation": "N",
            "endpointDescription": "San Luis Valley Health PCP Kay Bone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2115 Stuart Ave",
            "city": "Alamosa",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811012269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.