KELLY ANN BOIE PPCNP-BC
NPI 1063485514
Registered Nurse, Pediatrics in Minnetonka,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 7, 2006

Contact Information

14001 Ridgedale Dr, Ste 100
Minnetonka,
Post Code: 55305
Phone: (952) 473-0211
Fax: (952) 473-7908

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Kelly Ann Boie Ppcnp-bc in Minnetonka - Registered Nurse, Pediatrics

Kelly Ann Boie Ppcnp-bc is a Registered Nurse, Pediatrics in Minnetonka, . Kelly Ann Boie Ppcnp-bc practices all healthcare services and medical treatments related to Registered Nurse, Pediatrics. The NPI Number for Kelly Ann Boie Ppcnp-bc is 1063485514. The last update date is 2016-05-03.

Kelly Ann Boie Ppcnp-bc's current location address is 14001 Ridgedale Dr, Ste 100, Minnetonka, . You can contact this provider via phone number (952) 473-0211 and fax number (952) 473-7908. The mailing address for Kelly Ann Boie Ppcnp-bc is 14001 Ridgedale Dr, Ste 100, Minnetonka, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1063485514
Provider Name
KELLY ANN BOIE PPCNP-BC
Gender
Female
Entity Type
Individual
Location Address
14001 Ridgedale Dr, Ste 100, Minnetonka,
Location Phone
(952) 473-0211
Location Fax
(952) 473-7908
Mailing Address
14001 Ridgedale Dr, Ste 100, Minnetonka, Minnesota(MN)
Mailing Phone
952-473-0211
Mailing Fax
952-473-7908
Enumeration Date
2006-02-07
Last Update Date
2016-05-03
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner, Pediatrics

Taxonomy Code
363LP0200X
Type
-
License No.
CNP0812
License State
Minnesota (MN)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 163WP0200X Pediatric Registered Nurse

Registered Nurse, Pediatrics

R1121373 (Minnesota)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
731306300 MEDICAID (05) Minnesota (MN)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063485514
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123881052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20123881052
2 + 0 + 1 + 2 + 3 + 8 + 8 + 1 + 0 + 5 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1063485514 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063485498 JOSEPH SCHOENECKER
Individual
Pathology, Clinical Pathology/Laboratory Medicine 1406 6TH AVE N
SAINT CLOUD, Minnesota (MN)
1063484590 HEATHER M BERG-PATEL
Individual
Psychiatry & Neurology, Psychiatry 640 JACKSON ST
SAINT PAUL, Minnesota (MN)
651-254-4786
1063484566 JONATHAN JAMES SCHORN
Individual
Optometrist 16105 CEDAR AVE
LAKEVILLE, Minnesota (MN)
952-985-6467
1063484509 BRADLY J NARR
Individual
Anesthesiology 200 1ST ST SW
ROCHESTER, Minnesota (MN)
507-284-2511
1063484343 JUDITH A KUCZENSKI
Individual
Nurse Practitioner 8170 33RD AVE S
MINNEAPOLIS, Minnesota (MN)
952-883-5375