Provider Demographics
NPI:1962416768
Name:BOONE, JOHNATHAN (RRT, CPFT)
Entity type:Individual
Prefix:MR
First Name:JOHNATHAN
Middle Name:
Last Name:BOONE
Suffix:
Gender:M
Credentials:RRT, CPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 DAVID CIR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-3254
Mailing Address - Country:US
Mailing Address - Phone:423-929-8200
Mailing Address - Fax:
Practice Address - Street 1:CORNER OF SIDNEY AND LAMONT
Practice Address - Street 2:JAMES H. QUILLEN- VAMC
Practice Address - City:(JOHNSON CITY) MOUNTAIN CITY
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCRT00000014252278P1006X, 227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No2278P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Function Technologist