Individual provider Active NPI

Erika Rose Boehlke

  • School Registered Nurse
  • Schenectady, NY
National Provider Identifier
1043882525
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
775273-01 Issued in NY
Practice address
2995 Curry Rd Ext
Schenectady, NY 12303-2801
Phone
(518) 836-2300
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 775273-01 NY Primary

Addresses

Primary practice location

2995 Curry Rd Ext
Schenectady, NY 12303-2801

Mailing address

6 Nielsen Rd
Altamont, NY 12009-4601
Phone (518) 729-7121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eboehlke@wildwoodprograms.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
775273-01NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1043882525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NIELSEN RD",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120094601",
            "telephone_number": "518-729-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 CURRY RD EXT",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032801",
            "telephone_number": "518-836-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHLKE",
        "first_name": "ERIKA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "775273-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eboehlke@wildwoodprograms.org",
            "affiliation": "N",
            "endpointDescription": "gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Curry Rd Ext",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123032801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.