Mark S Boone, LAC, CMTPT

Key facts

NPI

1982929790

Entity type

Individual (NPI type 1)

Primary specialty

Acupuncturist 171100000X

License

5401000154 (MI)

Practice address

2 International PLZ
Nashville, TN 37217-2017

Phone

(615) 367-5928

NPI assigned

Apr 5, 2010

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2020.

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1982929790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637",
            "telephone_number": "615-567-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INTERNATIONAL PLZ",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172017",
            "telephone_number": "615-367-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LAC, CMTPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5401000154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

• Chad Stephen Boomershine, M.D., PH.D.
• Jeffrey Boon
• Whitney Boon
• Anita Jean Boone
• John M Boone Jr., M.D.
• Trinity J Boone, C.P.N.P.
• Kartik Boorgu, MD
• Elise Walsh Boos, M.D., MSC
• Meredith Anne Booten, APRN, AG-ACNP
• Garrett Scott Booth, M.D.

All providers in Nashville, TN · Acupuncturist in Tennessee