Cheryl Boston, AU.D., FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201000358 Issued in VA

Practice address

8644 Sudley Rd
Suite 114
Manassas, VA 20110-4417

Phone

(703) 330-3363

Fax

(703) 330-1058

NPI assigned

Apr 23, 2007

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

Enrolled in VA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Specialists of Northern VA 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ear Nose & Throat Specialists of Northern VA

  • Otolaryngology Physician
  • Springfield, VA
  • NPI 1760588628

  VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104044551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 SAFFRON HILL CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201107947",
            "telephone_number": "703-330-6636",
            "fax_number": "703-330-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8644 SUDLEY RD",
            "address_2": "SUITE 114",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104417",
            "telephone_number": "703-330-3363",
            "fax_number": "703-330-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "CHERYL",
        "credential": "AU.D., FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boosalis Psychological Services
• Eleni M Boosalis, PSYD
• Borarath Yann, D.D.S., PC
• Michelle Maria Boren, LCSW
• Paul A Borzellino, LPC
• Yina Botero Muriel
• Daniel Vincent Paul Bouthillier Jr.
• Teressa Bowman, M.A, QMHP
• Joyce Boyce
• David Boyd

• All providers in Manassas, VA
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.