SANDRA BOYLES (NPI# 1518073147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518073147 |
Entity Type | Individual |
Full Name | SANDRA BOYLES |
Credential | C.P. N. P. |
Practice Address |
3685 Lawrenceville Hwy Suite 100 Lawrenceville GA 30044-4107 |
Practice Telephone | 7709217386 |
Practice Fax Number | 7703816013 |
Mailing Telephone | 7709217386 |
Mailing Fax Number | 7703816013 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R091497 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00828033B | 05 | |
GA | 00828033A | 05 |
Street Address |
3685 LAWRENCEVILLE HWY SUITE 100 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30044-4107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922114644 | Jennifer Duke Smart | Pediatrics | 3685 Lawrenceville Hwy, Suite 100, Lawrenceville, GA 30044-4107 | 2006-08-23 |
1508975624 | Children's Medicine, P.C. | Pediatrics | 3685 Lawrenceville Hwy, Suite 100, Lawrenceville, GA 30044-4107 | 2006-08-30 |
1487760021 | J Vincent Vigil | Pediatrics | 3685 Lawrenceville Hwy, Suite 100, Lawrenceville, GA 30044-4107 | 2006-08-23 |
1497861058 | Renee J Renfus | Pediatrics | 3685 Lawrenceville Hwy, Suite 100, Lawrenceville, GA 30044-4107 | 2006-08-23 |
1083721617 | Joann West | Nurse Practitioner | 3685 Lawrenceville Hwy, Suite 100, Lawrenceville, GA 30044-4107 | 2006-08-23 |
1730295478 | S Jan Fitzgerald-soapes | Pediatrics | 3685 Lawrenceville Hwy, Suite 100, Lawrenceville, GA 30044-4107 | 2006-08-23 |
1609982206 | Nadine N Gordon | Pediatrics | 3685 Lawrenceville Hwy, Suite 100, Lawrenceville, GA 30044-4107 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
Find all providers in zip 30044 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750858056 | Amanda Bennett | Nurse Practitioner | 2000 Riverside Pkwy Ste 207, Lawrenceville, GA 30043-5926 | 2018-10-25 |
1306459250 | Erin Ashley Cox | Nurse Practitioner | 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 | 2020-08-28 |
1811511140 | Oanh Ngoc Thi Tran | Nurse Practitioner | 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 | 2020-06-02 |
1487168605 | Stephanie Jones | Nurse Practitioner | 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2017-11-27 |
1689119299 | Emily Griffin Roper | Nurse Practitioner | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2017-01-05 |
1104371434 | Andrea E Piscadlo | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2016-08-16 |
1699113308 | Elizabeth Hill | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2013-06-05 |
1386999613 | Amanda Lee Carlton | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2012-07-24 |
1841580420 | Pediatric Associtaes of Lawrenceville, LLC | Nurse Practitioner | 755 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2011-04-15 |
1144528928 | Lauren Ashley Garmon | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2011-03-03 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30044 |
Please comment or provide details below to improve the information on SANDRA BOYLES.
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.