Todd Vincent Boicourt

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP1965462 Issued in FL

Practice address

2928 Oak TRL
Edgewater, FL 32141-6963

Phone

(321) 356-9688

NPI assigned

Apr 30, 2006

Last updated

Apr 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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

{
    "created_epoch": "1146355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1104883388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391118",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327391118",
            "telephone_number": "386-847-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 OAK TRL",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321416963",
            "telephone_number": "321-356-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-667-0004 x141",
            "fax_number": "407-667-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOICOURT",
        "first_name": "TODD",
        "middle_name": "VINCENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-30",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1965462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G2740",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300827400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R Berner, PT
• Leslie R Betts
• Bhi of Central Florida Corporation (SafeNet Non-Emergency Transportation)
• Noah Benjamin Bigman, FNP-C
• Regina A. Blanke
• Brilliance Living Corporation (Brilliance Assisted Living)
• Joshua Budvarson, OTR/L
• Anne Butler, M.D.
• Rene Callanta, LMT
• Larry Cameron

• Certified Registered Nurse Anesthetist in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.