Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053715516 Individual Practitioner Female Practitioner

Joan O Bovard , APRN FNP-BC

Nurse Practitioner • Southgate, KY

Professional Overview & Biography Verified Profile Summary

Joan Bovard, APRN FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Southgate, KY. Practice services are available at 525 ALEXANDRIA PIKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

525 Alexandria Pike
Suite 300

Southgate, KY 41071

Telephone 8597812210
Fax 8597810289
Associated Practice Facility / Clinic
🏢 Dva Renal Healthcare Inc Facility NPI 1013970110

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Southgate, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Southgate, KY (1865 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3009017

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OH COA.16659-NP

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100339070 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1003043787

Doctor of Medicine (M.D.)

Dr. Niva Khan , MD

Internal Medicine

NPI 1063455475

Doctor of Medicine (M.D.)

Dr. Danilo Calderon , MD

Internal Medicine

NPI 1093730772

Doctor of Medicine (M.D.)

Dr. Jamie Schulz , DO

Internal Medicine

NPI 1093978686

Doctor of Osteopathic Medicine (D.O.)

Dr. Peggy Mcdannold , MD

Internal Medicine

NPI 1114960127

Doctor of Medicine (M.D.)

Dr. Gary Seward , MD

Internal Medicine

NPI 1154365245

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address September 13, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8492125478)

📍
Updated Practice Location May 22, 2018

Registered at 525 ALEXANDRIA PIKE, SUITE 300, SOUTHGATE, KY 41071 (Tel: 8597812210)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2018

Nurse Practitioner (License #COA.16659-NP in OH)

NPI Profile Active January 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2018

Registered at 525 ALEXANDRIA PIKE, SUITE 300, SOUTHGATE, KY 410713247 (Tel: 8597812210)

📍
Updated Business Mailing Address January 03, 2018

Registered at 2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 410171686 (Tel: 8497812210)

👤
Provider Name / Credentials Updated January 03, 2018

Recorded as JOAN BOVARD, APRN FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2018

Nurse Practitioner (License #3009017 in KY)

NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2015

Registered at 525 ALEXANDRIA PIKE, SUITE 300, SOUTHGATE, KY 410713247 (Tel: 8597812210)

📍
Updated Business Mailing Address November 11, 2015

Registered at 2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 410171686 (Tel: 8497812210)

👤
Provider Name / Credentials Updated November 11, 2015

Recorded as JOAN BOVARD, APRN FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Nurse Practitioner (License #3009017 in KY)

🟢
Initial NPI Registration & Enumeration October 13, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053715516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2014
Last Update: September 13, 2018
Sole Proprietor: No

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8492125478

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.