JANUARY LANIECE BOMAR LPN
NPI 1700531431
Licensed Practical Nurse in Knoxville, TN

Q: What is January Bomar's NPI number?

The NPI number for January Bomar is 1700531431. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Q: What is January Bomar's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for January Bomar was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 22, 2022

1754 TEXAS AVE, KNOXVILLE, TN 37921(865) 934-6165(865) 342-0165 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About January Laniece Bomar Lpn NPPES

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

JANUARY LANIECE BOMAR LPN (NPI 1700531431) is an individual licensed practical nurse in Knoxville, Tennessee, licensed in Tennessee (96745) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1700531431

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJANUARY LANIECE BOMARCredential: LPN

Location Address1754 TEXAS AVEKnoxville, TN 37921-2513

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344 · Fax (423) 714-2355

Phone(865) 934-6165

Fax(865) 342-0165

Sole ProprietorNo

Enumeration DateFebruary 22, 2022

NPPES CertifiedFebruary 22, 2022

✔ NPI 1700531431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in TN · 96745

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1754 TEXAS AVE, Knoxville, TN 37921

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Other Providers at the Same Location NPPES 6

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

GARRETT BELL-GRESHAM M.D.

Pediatrics