Individual provider Active NPI

John Boileau, FNP-C

  • Nurse Practitioner
  • Gallatin, TN
National Provider Identifier
1104309665
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24724 Issued in TN
Practice address
355 Woodlands Dr
Gallatin, TN 37066-4730
Phone
(615) 451-1580
NPI assigned
Sep 11, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24724 TN Primary

Addresses

Primary practice location

355 Woodlands Dr
Gallatin, TN 37066-4730

Mailing address

355 Woodlands Dr
Gallatin, TN 37066-4730
Phone (615) 451-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816001077 TN Practitioner - Nurse Practitioner 2163805623 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hickman Community Health Careservices CurrentSince Mar 5, 2024 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
Saint Thomas Medical Partners CurrentSince Jul 15, 2022 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Mar 5, 2024 Accepting new patients

Locations

150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

435 Sewell Dr
Sparta, TN 38583
Phone (931) 738-4595

Interoperability endpoints

  • Direct secure messaging: john.boileau.2@7654.direct.athenahealth.com
  • Direct secure messaging: john.boileau.3@7654.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1104309665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 WOODLANDS DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664730",
            "telephone_number": "615-451-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 WOODLANDS DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664730",
            "telephone_number": "615-451-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOILEAU",
        "first_name": "JOHN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.