MRS. LESLEY ANN BOSSE (NPI# 1235630641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235630641 |
| Entity Type | Individual |
| Full Name | MRS. LESLEY ANN BOSSE |
| Other Name | MISS LESLEY ANN SERVER |
| Credential | FNP-C |
| Practice Address |
1724 State Rd 6b Summerville SC 29486-2842 |
| Mailing Address |
2268 Daniel Island Dr Daniel Island SC 29492-7950 |
| Practice Telephone | 8436067100 |
| Practice Fax Number | 8436067101 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21432 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1724 STATE RD 6B |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710969845 | Christopher D Oliver | Dentist | 1724 State Rd, Suite 4d, Summerville, SC 29483-2842 | 2005-11-15 |
| 1689184673 | Andrew Ply | Dentist | 1724 State Rd, Summerville, SC 29486-2842 | 2017-10-04 |
| 1982056966 | Kristina Dawson Snipes | Dentist | 1724 State Rd, #4d, Summerville, SC 29486-2842 | 2016-07-01 |
| 1538522289 | Cane Bay Chiropractic & Wellness, LLC | Chiropractor | 1724 State Rd, Suite 1d, Summerville, SC 29486-2842 | 2016-03-31 |
| 1962889576 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 1724 State Rd, Suite 6b, Summerville, SC 29483-2842 | 2015-05-04 |
| 1881014090 | Roper Saint Francis Physicians Network | Family Medicine | 1724 State Rd, Suite 6b, Summerville, SC 29483 | 2014-04-27 |
| 1205261633 | Cane Bay Family Dentistry, LLC | Clinic/Center | 1724 State Rd, Suite 4d, Summerville, SC 29483-2842 | 2013-09-04 |
| 1558700567 | John Daniel Flaugher | Family Medicine | 1724 State Rd, Ste. 6b, Summerville, SC 29486-2842 | 2013-06-24 |
| 1962748723 | Stephanie Maria Cornell | Pharmacist | 1724 State Rd, Summerville, SC 29483-2842 | 2012-12-26 |
| 1568745081 | Publix Super Markets Inc | Pharmacy | 1724 State Rd, Summerville, SC 29483-2842 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1336649953 | Rochelle D. Elayda | Nurse Practitioner | 1101 Old Trolley Rd Ste 100, Summerville, SC 29485-5294 | 2018-02-20 |
| 1558877357 | Christina Marie Cottrell | Nurse Practitioner | 679 Orangeburg Rd Unit F, Summerville, SC 29483-9038 | 2017-12-17 |
| 1659897858 | Brandon Michael Williams | Nurse Practitioner | 109 Carroll Ct, Summerville, SC 29483-4227 | 2017-08-18 |
| 1477927663 | Alma Boone | Nurse Practitioner | 124 Valentin Dr, Summerville, SC 29483-8439 | 2015-11-25 |
| 1033526231 | Shenise Seabrook | Nurse Practitioner | 9656 Pebble Creek Blvd, Summerville, SC 29485-8946 | 2014-07-20 |
| 1952730889 | Brenda Veatch-haynes | Nurse Practitioner | 123 Martin St, Summerville, GA 30747-1260 | 2013-11-01 |
| 1477829703 | Life Center Family Medicine | Nurse Practitioner | 679 Orangeburg Rd Ste F, Summerville, SC 29483-8914 | 2012-03-30 |
| 1497053656 | Kimberly Vaughn | Nurse Practitioner | 138 Mitchell Dr, Summerville, GA 30747-6642 | 2011-03-11 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
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| 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.