CHRISTY S BOULOS (NPI# 1407131543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407131543 |
| Entity Type | Individual |
| Full Name | CHRISTY S BOULOS |
| Credential | APRN |
| Practice Address |
2915 Grant St Omaha NE 68111-3863 |
| Mailing Address |
8988 North 79th Street Omaha NE 68122-4000 |
| Practice Telephone | 4024571200 |
| Practice Fax Number | 4024571210 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
111312 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2915 GRANT ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750395109 | Monique A Tolston | Family Medicine | 2915 Grant St, Omaha, NE 68111-3863 | 2006-07-28 |
| 1811594583 | Hope Chamara Tarrant | Counselor | 2915 Grant St, Omaha, NE 68111-3863 | 2020-10-06 |
| 1841800505 | Abigail Lechner | Nurse Practitioner | 2915 Grant St, Omaha, NE 68111-3863 | 2020-08-06 |
| 1720603889 | Katherine Elizabeth Salinas | Nurse Practitioner | 2915 Grant St, Omaha, NE 68111-3863 | 2020-06-14 |
| 1376177741 | Payton Jibri Hogan | Counselor | 2915 Grant St, Omaha, NE 68111-3863 | 2020-02-25 |
| 1205490067 | Emily Svoboda | Pharmacist | 2915 Grant St, Omaha, NE 68111-3863 | 2019-04-26 |
| 1043725575 | Donald Ray Durant Jr. | Counselor | 2915 Grant St, Omaha, NE 68111-3863 | 2017-12-06 |
| 1982144960 | Wayne L Tate | Pharmacist | 2915 Grant St, Omaha, NE 68111-3863 | 2017-02-24 |
| 1558817759 | Carla Habrich | Counselor | 2915 Grant St, Omaha, NE 68111-3863 | 2016-08-28 |
| 1073976437 | Mark E Farrage | Pharmacist | 2915 Grant St, Omaha, NE 68111-3863 | 2016-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| Find all providers in zip 68111 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952659930 | Charles Drew Health Center, Inc | Nurse Practitioner | 5100 Florence Blvd, Omaha, NE 68110-5346 | 2012-08-22 |
| 1346597895 | Charles Drew Health Center, Inc | Nurse Practitioner | 5904 Henniger Avenue, Omaha, NE 68183-0001 | 2012-08-14 |
| 1023365582 | Charles Drew Health Center, Inc | Nurse Practitioner | 3600 North 24th Street, Omaha, NE 68110-1872 | 2012-08-14 |
| 1770954687 | Connie Sue Radke | Nurse Practitioner | 2915 Grant Street, Omaha, NE 68111-3863 | 2015-10-19 |
Please comment or provide details below to improve the information on CHRISTY S BOULOS.
| 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.