Angela Cheryl Boulanger

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0046255 Issued in OK

Practice address

5200 Bunny TRL
Killeen, TX 76549-6930

Phone

(254) 553-8110

Fax

(254) 553-8111

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1023603040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-553-8198",
            "fax_number": "254-553-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BUNNY TRL",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496930",
            "telephone_number": "254-553-8110",
            "fax_number": "254-553-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULANGER",
        "first_name": "ANGELA",
        "middle_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0046255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Boros, PH.D., LMFT-S
• Ashley Bosque Velez
• Adam Carl Bossen, MD
• Lisa K Boster, BCBA
• Brandy Boudreaux
• Cortenee Boulard, BCBCA
• David Bounds, APRN
• Joshua Taylor Bouse
• Adamarys Bowers, MSOT, OTR/L
• Kaylee Ann Bowers, BCBA

• Licensed Practical Nurse in Killeen, TX
• Providers in Killeen, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.