Lisa Marie Boland, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

236512 Issued in SC

Practice address

3093 SC-14
Greer, SC 29650

Phone

(864) 720-1900

NPI assigned

Dec 15, 2025

Last updated

Dec 15, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1548849482
  NPD (past)

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1205790144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WIND SPRINGS WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-720-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 SC-14",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-720-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "236512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camryn Blume, RBT
• Monica Aileen Boada Cordova, FNP-C
• Body Works Physical Therapy, LLC
• Arden Kay Boggs, PT
• Hunter Wayne Bohon
• Braden Bolger
• Amy Clanton Boone, FNP
• Cindy Marie Boudreaux
• Nadia M Boufawaz, PHARMD
• James Allen Bourg, D.C.

• Registered Nurse in Greer, SC
• Providers in Greer, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.