Todd Ryan Bomar, PMHNP-BC
Todd Ryan Bomar, PMHNP-BC is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2020, 6 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arkansas, Florida, Tennessee and Virginia.
- Years since qualifying
- 6
- Licensed in
- AR, FL, TN, VA
- In the registry since
- 2021
- Specialties on file
- 4
What do these letters mean?
- PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
- A board-certified psychiatric nurse practitioner.
Practice location Address checks out
1570 Waverly RdKingsport, TN 37664-2523
Phone: (423) 224-1300
Fax: (423) 467-3644
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 0024182774 (VA) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 29138 (TN) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 11011297 (FL) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 236371 (AR) |
Record details
| NPI number | 1336730084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PMHNP-BC |
| Sole proprietor | No |
| NPI enumerated | January 26, 2021 |
| Last updated in NPPES | April 20, 2026 |
| Certification date | April 20, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Kingsport
-
Savannah Rasnic Bledsoe
1025 Executive Park Blvd, Kingsport, TN 37660-4620 · (423) 830-8110
-
Jacqlyne Weber Bowman, PMHNP-BC
1570 Waverly Rd, Kingsport, TN 37664-2523 · (423) 224-1300
-
MS. Tricia Cannon, PMHNP-BC
1570 Waverly Rd, Kingsport, TN 37664-2523 · (423) 224-1300
-
Bryan Cooke, MSN, APRN, PMHNP-BC
1025 Executive Park Blvd, Kingsport, TN 37660-4620 · (423) 571-2249
-
MS. Joan Colette D'Cruz, APRN, BC
1536 Bridgewater Ln Ste 103, Kingsport, TN 37660-4103 · (423) 245-2406