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J BOATMAN LLC
NPI 1003112558
Registered Nurse - Psychiatric/Mental Health, Adult in Creve Coeur, MO

Active since February 01, 2011
11475 OLDE CABIN RD STE 120, CREVE COEUR, MO 63141(314) 647-4488(314) 647-6305 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About J Boatman Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J BOATMAN LLC (NPI 1003112558) is a healthcare organization registered as a psychiatric/mental health, adult in Creve Coeur, Missouri and active in the NPI registry since February 2011. The organization maintains a secondary practice location in St Louis and lists Jeffrey Boatman, Owner, as its authorized official.

NPPES Registry Identity

NPI1003112558
Entity TypeOrganization
Primary Taxonomy163WP0809X
Legal Business NameJ BOATMAN LLC
Location Address11475 OLDE CABIN RD STE 120Creve Coeur, MO 63141-7128
Mailing Address5807 Mango DrSaint Louis, MO 63129-2243 · (314) 753-5184
Phone(314) 647-4488
Fax(314) 647-6305
Organization SubpartNo
Authorized OfficialJeffrey BoatmanOwner · (314) 753-5184
Enumeration DateFebruary 1, 2011
Last NPPES UpdateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1003112558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in MO · 11805
11475 OLDE CABIN RD STE 120, Creve Coeur, MO 63141
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Secondary Practice Location 1

Location 11201 Bellevue AveSt Louis, MO 63117 · Phone (314) 647-4788 · Fax (314) 647-6305

Other Identifiers 1

Other580714MO · Anthem Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT D GROESCH MD
Internal Medicine
11475 OLDE CABIN RD STE 120
SAINT LOUIS, MO 63141
St. Louis County (314) 993-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J Boatman LLC's NPI number?

The NPI number for J Boatman LLC is 1003112558. It was assigned to this organization in the NPPES registry on February 1, 2011.

Where is J Boatman LLC located?

J Boatman LLC is located at 11475 Olde Cabin Rd Ste 120, Creve Coeur, MO 63141. The listed phone number is (314) 647-4488.

What is J Boatman LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for J Boatman LLC was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.