JENNIFER M. BOYLE (NPI# 1508802802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508802802 |
| Entity Type | Individual |
| Full Name | JENNIFER M. BOYLE |
| Credential | FNP |
| Practice Address |
585 5th St Brookings OR 97415-9702 |
| Mailing Address |
Po Box 6819 Brookings OR 97415-0297 |
| Practice Telephone | 5414695377 |
| Practice Fax Number | 5414698015 |
| Mailing Telephone | 5414695377 |
| Mailing Fax Number | 5414698015 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200350054NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 298898 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356868178 | Jennifer Marie Boyle | Physical Therapist | 50 Williams Pkwy Unit D, East Hanover, NJ 07936 | 2017-08-23 |
| 1336525088 | Jennifer Wong Boyle | Marriage & Family Therapist | 10801 National Blvd Ste 251, Los Angeles, CA 90064-4141 | 2015-08-05 |
| 1538799366 | Jennifer Anne Boyle | Pharmacist | 445 State Road 13, Saint Johns, FL 32259-3838 | 2020-01-21 |
| 1184024432 | Jennifer Boyle | Social Worker | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2014-08-23 |
| 1700220720 | Jennifer Balandran Boyle | Obstetrics & Gynecology | 11700 N Meridian St, Carmel, IN 46032 | 2013-04-21 |
| 1245538099 | Jennifer Ellen Boyle | Physical Therapist | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2011-03-03 |
| 1932421104 | Jennifer Lauren Boyle | Pharmacist | 126 Jericho Tpke, Commack, NY 11725-3018 | 2010-02-15 |
| 1164660544 | Jennifer Lynn Boyle | Occupational Therapy Assistant | 136 William St, Springfield, MA 01105-2324 | 2009-01-23 |
| 1396826442 | Jennifer S Boyle | Emergency Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-10-17 |
| 1073582375 | Jennifer Renaud Boyle | Specialist | 1000 E 1st St, Ste Ll, Duluth, MN 55805-2297 | 2006-03-17 |
| Street Address |
585 5TH ST |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598930430 | Wild Rivers Physiatry, Inc | Specialist | 585 5th St, Brookings, OR 97415-9702 | 2008-04-22 |
| 1386825263 | Warren J Krick Md PC | Psychiatry & Neurology | 585 5th St, Brookings, OR 97415-9702 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619364742 | Tanya Llanque | Nurse Practitioner | 500 Main Ave Unit 883, Brookings, SD 57006-7647 | 2015-04-15 |
| 1821272790 | Debra Ann Burlage | Nurse Practitioner | Wellness Center 154, 2818, Brookings, SD 57007-0001 | 2007-12-27 |
| 1861538274 | Tracey S Kather | Nurse Practitioner | 97825 Shopping Center Ave., Brookings, OR 97415 | 2007-01-30 |
| 1285710616 | Brenda Fern Andersen | Nurse Practitioner | Sdsu Student Health Clinic, N. Campus Drive, Brookings, SD 57007-0001 | 2006-10-27 |
| 1194807511 | Lindsay Marie Rheault | Nurse Practitioner | Wellness Ctr, Box 2818, Brookings, SD 57007-0001 | 2006-10-19 |
| 1235170564 | Carol Oliver | Nurse Practitioner | 413 Mill Beach Rd, Brookings, OR 97415-9690 | 2006-06-09 |
| 1700873528 | Melissa Louise Wilson | Nurse Practitioner | 524 Spruce Street Unit 3, Brookings, OR 97415 | 2005-10-06 |
| 1568461804 | Janine Dawn Bassett | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2450 | 2005-07-19 |
| 1295731644 | Carla Dieter | Nurse Practitioner | Sdsu Health & Counseling Clinc, Brookings, SD 57007-0001 | 2005-06-21 |
| 1740821453 | Kellie Marie Creaser | Nurse Practitioner | 500 5th St, Brookings, OR 97415-9702 | 2019-10-03 |
| Find all providers in BROOKINGS | ||||
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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.