KATELIN JANE BOAK
NPI 1265369102
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since May 05, 2026PECOS Enrolled
1161 21ST AVE S, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelin Jane Boak NPPES

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

KATELIN JANE BOAK (NPI 1265369102) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265369102
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATELIN JANE BOAK
Location Address1161 21ST AVE SNashville, TN 37232-0011
Mailing Address1161 21st Ave SNashville, TN 37232-0011 · (615) 322-5000
Sole ProprietorNo
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
NPI 1265369102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1161 21ST AVE S, Nashville, TN 37232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katelin Jane Boak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Nurse Practitioner (Family)
1161 21ST AVE S
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Internal Medicine (Infectious Disease)
1161 21ST AVE S, A-2200 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Radiology (Neuroradiology)
1161 21ST AVE S, CCC-1121 MED CTR N, DEPARTMENT OF RADIOLOGY
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurocritical Care)
1161 21ST AVE S
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232

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 Katelin Boak's NPI number?

The NPI number for Katelin Boak is 1265369102. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Katelin Boak located?

Katelin Boak practices at 1161 21st Ave S, Nashville, TN 37232. The listed phone number is (615) 322-5000.

What is Katelin Boak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katelin Boak enrolled in Medicare?

Yes. Katelin Boak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelin Boak was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.