MARILEE GREEN BOMAR MSN
NPI 1013954601
Clinical Nurse Specialist - Gerontology in Columbia, MO

Q: What is Marilee Bomar's NPI number?

The NPI number for Marilee Bomar is 1013954601. It was assigned to this individual provider in the NPPES registry on June 1, 2006. The provider is also known as Marilee Sue Green Lpn.

Q: What is Marilee Bomar's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Q: When was this NPI record last updated?

The NPPES record for Marilee Bomar was last updated on May 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 01, 2006

551 E SOUTHAMPTON DR, COLUMBIA, MO 65201(573) 884-7733(573) 882-6228 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2019, Apr 12, 2018 (2 updates tracked since 2018).

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About Marilee Green Bomar Msn NPPES

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

MARILEE GREEN BOMAR MSN (NPI 1013954601) is an individual gerontology provider in Columbia, Missouri, licensed in Missouri (128845) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1013954601

Entity TypeIndividualFemale

Primary Taxonomy364SG0600X

Provider Legal NameMARILEE GREEN BOMARCredential: MSN

Location Address551 E SOUTHAMPTON DRColumbia, MO 65201-4236

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 884-7733

Fax(573) 882-6228

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateMay 3, 20192 updates tracked since enumeration

✔ NPI 1013954601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SG0600X

License✔ Licensed in MO · 128845

Also ListedNurse PractitionerTaxonomy 363L00000X · License 128845 (MO)

551 E SOUTHAMPTON DR, Columbia, MO 65201

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Other Names 1

Professional Name (2)Marilee Sue Green Lpn

Other Identifiers 1

Medicaid420750200MO

Other Providers at the Same Location NPPES 20

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

PAIGE LEIGH HARRIS R.PH.

Pharmacist