MRS. EMILY MAIRE BOYLE (NPI# 1700328523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700328523 |
| Entity Type | Individual |
| Full Name | MRS. EMILY MAIRE BOYLE |
| Credential | AGPCNP-BC |
| Practice Address |
4122 Keaton Crossing Blvd O Fallon MO 63368-8218 |
| Mailing Address |
10 Lochhaven Ln Ballwin MO 63021-8020 |
| Practice Telephone | 6363299077 |
| Practice Fax Number | 6363299076 |
| Mailing Telephone | 3145785400 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2016039315 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972061554 | Emily Boyle | Counselor | 166 Main St, Matawan, NJ 07747-3104 | 2019-03-04 |
| 1275004558 | Emily Ann Boyle | Nurse Practitioner | 188 E Southway Blvd, Kokomo, IN 46902-3650 | 2018-12-11 |
| 1538643077 | Emily Ann Boyle | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2018-09-20 |
| 1326520321 | Emily Jane Boyle | Speech-Language Pathologist | 275 Prospect St, Norwood, MA 02062-1467 | 2018-09-05 |
| Street Address |
4122 KEATON CROSSING BLVD |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-8218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598777815 | Numpol Dejtiranukul | Dentist | 4122 Keaton Crossing Blvd, Suite 101, O Fallon, MO 63368-8218 | 2006-08-13 |
| 1609384205 | Elizabeth Christy | Nurse Practitioner | 4122 Keaton Crossing Blvd, O Fallon, MO 63368-8218 | 2018-01-17 |
| 1104278068 | Back Together Chiropractic, LLC | Chiropractor | 4122 Keaton Crossing Blvd, Suite 105, O Fallon, MO 63368-8218 | 2016-07-04 |
| 1699135434 | Laura Christine Thomas | Nurse Practitioner | 4122 Keaton Crossing Blvd, Suite 102, O Fallon, MO 63368-8218 | 2016-03-04 |
| 1326410036 | Lakendria Hawkins | Chiropractor | 4122 Keaton Crossing Blvd, Ste 105, O Fallon, MO 63368-8219 | 2015-10-21 |
| 1841544251 | Elpis Pain Management Center LLC | Anesthesiology | 4122 Keaton Crossing Blvd, Suite 102, O Fallon, MO 63368-8218 | 2012-11-07 |
| 1043479215 | Numpol Dejtiranukul Dmd LLC | Dentist | 4122 Keaton Crossing Blvd, Suite 101, O Fallon, MO 63368-8218 | 2008-06-03 |
| 1083729941 | Vivek K Manchanda | Anesthesiology | 4122 Keaton Crossing Blvd, Suite 102, O Fallon, MO 63368-8218 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194923151 | Laura L Hill | Nurse Practitioner | 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368-2207 | 2007-07-10 |
| 1295775989 | Pamela L Kuda | Nurse Practitioner | 1464 Sunburst Dr, O Fallon, MO 63366-6348 | 2006-06-08 |
| 1992287379 | Elizabeth Anne Frost | Nurse Practitioner | 916 Talon Dr Ste 102, O Fallon, IL 62269-1848 | 2018-09-03 |
| 1699135434 | Laura Christine Thomas | Nurse Practitioner | 4122 Keaton Crossing Blvd, Suite 102, O Fallon, MO 63368-8218 | 2016-03-04 |
| 1770949125 | Patricia J Relleke | Nurse Practitioner | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2016-01-14 |
| 1407295355 | Jenna A Sanders | Nurse Practitioner | 5551 Winghaven Blvd, Ste 290, O Fallon, MO 63368-3617 | 2013-06-24 |
| 1396831616 | Crystal S Jesenick | Nurse Practitioner | 922 Talon Dr, Suite B, O Fallon, IL 62269-1848 | 2006-10-05 |
| 1831209840 | Jeannine Ayers | Nurse Practitioner | 20 Progress Point Pkwy, Ste 108, O Fallon, MO 63368-2206 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1710596424 | Clay Thornburg | Nurse Practitioner | 602 S Home St, Palmyra, MO 63461-1747 | 2020-07-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| Find all providers with the same taxonomy | ||||
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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.