KRISTINA BOYLAN (NPI# 1144648924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144648924 |
| Entity Type | Individual |
| Full Name | KRISTINA BOYLAN |
| Credential | FNP |
| Practice Address |
240 Pickering St Montgomery City MO 63361-1941 |
| Practice Telephone | 5735642101 |
| Practice Fax Number | 5735642130 |
| Mailing Telephone | 5735642101 |
| Mailing Fax Number | 5735642130 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013042560 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657273 | Kristina Boylan | Marriage & Family Therapist | 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426-1379 | 2015-04-21 |
| Street Address |
240 PICKERING ST |
| City | MONTGOMERY CITY |
| State | MO |
| Zip Code | 63361-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528044153 | Gerald R. Deves | General Practice | 240 Pickering St, Montgomery City, MO 63361-1967 | 2005-12-15 |
| 1588774889 | Michael Kinkade | Family Medicine | 240 Pickering St, Montgomery City, MO 63361-1941 | 2006-08-30 |
| 1407865710 | Ssm Audrain Health Care, Inc. | Family Medicine | 240 Pickering St, Montgomery City, MO 63361-1967 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508101338 | Charles Bukovac | Dentist | 215 South Sturgeon St, Montgomery City, MO 63361 | 2012-12-05 |
| 1265553820 | Thomas Robert Nichols | Dentist | 215 S Sturgeon, Suite C, Montgomery City, MO 63361 | 2007-04-02 |
| 1912999251 | Diana L Gibbs | Nurse Practitioner | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2005-08-22 |
| 1467001248 | Preferred Family Healthcare Inc | Community/Behavioral Health | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2019-09-05 |
| 1215440417 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2017-11-09 |
| 1902892375 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2005-09-21 |
| 1932114584 | Montgomery County Ambulance District | Ambulance | 911 Benton St, Montgomery City, MO 63361-1318 | 2006-07-30 |
| 1841346269 | Family Pharmacy | Pharmacy | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2007-01-26 |
| 1255972196 | Family Pharmacy | Pharmacy | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2019-10-02 |
| 1366940280 | Elizabeth A Holtman | Pharmacist | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2018-01-25 |
| Find all providers in zip 63361 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642986 | Jennifer M Humphrey | Nurse Practitioner | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2019-01-09 |
| 1922485259 | Healthy Choice | Nurse Practitioner | 111 E 1st St, Montgomery City, MO 63361-2550 | 2015-05-06 |
| 1558606731 | Kari Lynn Hercules | Nurse Practitioner | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2012-11-29 |
| 1710293972 | Mary Ellen Shanks | Nurse Practitioner | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY CITY |
| Zip Code | 63361 |
Please comment or provide details below to improve the information on KRISTINA BOYLAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.