KATIE BOYLAN (NPI# 1669885182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669885182 |
Entity Type | Individual |
Full Name | KATIE BOYLAN |
Credential | FNP |
Practice Address |
111 Rio Rancho Blvd Se Ste 108 Rio Rancho NM 87124-7020 |
Mailing Address |
7601 Jefferson St Ne Ste 340 Albuquerque NM 87109-4494 |
Practice Telephone | 5058928117 |
Practice Fax Number | 5058928515 |
Mailing Telephone | 5053383851 |
Enumeration Date | 2014-06-03 |
Last Update Date | 2015-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-02459 | NM | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
111 RIO RANCHO BLVD SE STE 108 |
City | RIO RANCHO |
State | NM |
Zip Code | 87124-7020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992131924 | Atrinea Health LLC | Family Medicine | 111 Rio Rancho Blvd Se, Suite 108, Rio Rancho, NM 87124-7020 | 2013-09-23 |
1316552508 | Donna Trzcienski | Physical Therapist | 111 Rio Rancho Blvd Se, Rio Rancho, NM 87124-7020 | 2020-09-14 |
1215411814 | Lovelace Unm Rehabilitation Hospital, LLC | Clinic/Center | 111 Rio Rancho Blvd Se, Rio Rancho, NM 87124-7020 | 2018-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
Find all providers in zip 87124 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
1861000457 | Bryan Andrew Sanchez | Nurse Practitioner | 442 Paseo Roja Pl Ne, Rio Rancho, NM 87124-4537 | 2020-07-20 |
1205454048 | Lauren Jones | Nurse Practitioner | 3005 Redondo Santa Fe Ne, Rio Rancho, NM 87144-0923 | 2020-07-08 |
1346719291 | Brandy Dawn Heaton | Nurse Practitioner | 1168 Mirador Loop Ne, Rio Rancho, NM 87144-5323 | 2018-11-21 |
1770067878 | M&k Health Care Clinics | Nurse Practitioner | 4351 Jager Dr Ne Ste C, Rio Rancho, NM 87144-7527 | 2018-09-24 |
1841782877 | Jennifer Pantoja | Nurse Practitioner | 1101 Golf Course Rd Se Ste 201, Rio Rancho, NM 87124-4731 | 2018-06-05 |
1013433192 | Maria Lynn Spangler | Nurse Practitioner | 3824 Bay Hill Loop Se, Rio Rancho, NM 87124-8211 | 2017-08-20 |
1649642901 | Lisa Marie Price | Nurse Practitioner | 1630 Rio Rancho Dr Se Ste 101, Rio Rancho, NM 87124 | 2015-10-27 |
1184013948 | Gina Nicole Evans | Nurse Practitioner | 6916 Kalgan Rd Ne, Rio Rancho, NM 87144-3529 | 2015-01-16 |
Find all providers in RIO RANCHO |
City | RIO RANCHO |
Zip Code | 87124 |
Please comment or provide details below to improve the information on KATIE 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.