CAROL ANNE BOULAY (NPI# 1184158230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184158230 |
| Entity Type | Individual |
| Full Name | CAROL ANNE BOULAY |
| Credential | ARNP |
| Practice Address |
6198 52nd St S St Petersburg FL 33715-2405 |
| Practice Telephone | 7274099211 |
| Mailing Telephone | 7274099211 |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2017-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1756222 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1756222 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6198 52ND ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33715-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962467910 | Joseph Alfred Boulay Jr. | Internal Medicine | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2006-04-20 |
| 1295058550 | Joseph A Boulay Jr Md Pa | Internal Medicine | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009831 | National Ancillary Network Solutions, LLC | Point of Service | 1117 Pinellas Bayway S. #307, St. Petersburg, FL 33715 | 2020-07-06 |
| 1376070110 | Ashley Smith | Physical Therapist | 5901 Sun Blvd Ste 110, St Petersburg, FL 33715 | 2017-05-11 |
| 1083028146 | Dianne Kathleen Stinger-saldarriaga | Physical Therapist | 5870 51st St S, St Petersburg, FL 33715 | 2014-06-17 |
| 1376862904 | Susan Beth Marcus | Specialist | 719 Pinellas Bayway S, Unit 201, Tierra Verde, FL 33715 | 2010-05-21 |
| 1366404915 | Rachael Anne Haskell | Social Worker | 6177 Sun Blvd, #404, St Petersburg, FL 33715 | 2006-04-06 |
| 1346607116 | Inna Anderson | Nurse Practitioner | 6294 Bahia Del Mar Cir Apt 401, Unit 401, St Petersburg, FL 33715-1086 | 2016-01-25 |
| 1790825453 | David Kazimierz Koszyk | Physical Therapist | 6294 Bahia Del Mar Cir Apt 215, St Petersburg, FL 33715-1088 | 2007-02-08 |
| 1366955205 | Kathy S Buell | Social Worker | 6177 Sun Blvd Apt 404, Saint Petersburg, FL 33715-1146 | 2017-11-14 |
| 1316451040 | Rachael Haskell Phd Resolution Today | Social Worker | 6177 Sun Blvd Apt 404, Saint Petersburg, FL 33715-1146 | 2017-11-16 |
| 1225505571 | Williamsmd LLC | Internal Medicine | 5901 Sun Blvd Ste 206, St Petersburg, FL 33715-1161 | 2018-10-25 |
| Find all providers in zip 33715 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644677 | Marie Helen Dailey | Nurse Practitioner | 10601 Gandy Blvd N Apt 2220, St Petersburg, FL 33702-1484 | 2019-05-16 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1801285051 | Ronsha Brown | Nurse Practitioner | 3551 42nd Ave S Ste B107, St Petersburg, FL 33711-4369 | 2015-01-12 |
| 1053718395 | Laurel Elizabeth Dimaggio | Nurse Practitioner | 3040 2nd Ave N, St Petersburg, FL 33713-8615 | 2014-12-02 |
| 1558790949 | Kristine Marie Sferra | Nurse Practitioner | 6325 23rd Ln N, St Petersburg, FL 33702-5624 | 2013-11-05 |
| 1770927485 | Charlotte Deolaso | Nurse Practitioner | 859 37th Ave Ne, St Petersburg, FL 33704-1621 | 2013-04-24 |
| 1023274727 | Kimberly Snyder Ristau | Nurse Practitioner | 5767 49th St N Ste A, St Petersburg, FL 33709-2106 | 2008-08-01 |
| 1811152366 | Sago Superior Management Inc | Nurse Practitioner | 3040 36th Ave S, St Petersburg, FL 33712-3731 | 2008-07-24 |
| 1841498623 | Sandra Marie Racine | Nurse Practitioner | 6499 38th Ave N Ste G1, St Petersburg, FL 33710-1658 | 2007-07-03 |
| 1013968189 | Brenda Dunlap | Nurse Practitioner | 900 49th St N, St Petersburg, FL 33710-6625 | 2006-05-13 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33715 |
Please comment or provide details below to improve the information on CAROL ANNE BOULAY.
| 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.