Ivette Elizabeth Boler, ARNP

Primary specialty

Oncology Registered NurseTaxonomy code 163WX0200X

License

ARNP 1249762 Issued in FL

Practice address

1840 Mease Dr
Suite 309
Safety Harbor, FL 34695-6602

Phone

(727) 216-1141

Fax

(727) 796-1590

NPI assigned

Mar 8, 2010

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

Other identifiers 2

Other names 1

• Ivette Boler Donelan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1063735926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 505",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051400",
            "telephone_number": "727-821-0017",
            "fax_number": "727-502-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 309",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-216-1141",
            "fax_number": "727-796-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLER",
        "first_name": "IVETTE",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "FL",
            "license": "ARNP 1249762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "Y03YY",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002116000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVETTE",
            "last_name": "DONELAN",
            "middle_name": "BOLER",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jason Paul Bivens
• Sara Nicole Black, COTA
• Kathie Blake-Greenberg
• Sarah Bober
• Donald Gaylord Bolduc, MS
• Kimberley Jean Boosales, C-AA
• Christopher Jesus Borrero, DO
• Daniel George Bosteder, MD
• Susan Jane Boston, M.D.
• Alison Sarah Bostwick

• Oncology Registered Nurse in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Oncology Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.