Deanna Boicourt, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

FL1971772 Issued in FL

Practice address

1717 N Clyde Morris Blvd Ste 130
Daytona Beach, FL 32117-5532

Phone

(386) 274-1004

NPI assigned

Jan 31, 2022

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

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1215680103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N CLYDE MORRIS BLVD STE 130",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175532",
            "telephone_number": "321-439-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N CLYDE MORRIS BLVD STE 130",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175532",
            "telephone_number": "386-274-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOICOURT",
        "first_name": "DEANNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "FL1971772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Thomas Bogdanowicz, M.D.
• Kimberly Sue Boggs-Dunne, RNFA,BSN,CNOR
• Yana Petrovna Bogoslov
• Courtney Bogunovic, DPM
• Carla Bohnstedt
• Rachel Elizabeth Boldman
• Janae Bolling
• Jessa Bonavia, APRN, PMHNP-BC
• Ines Bonila
• Claudina A Bonilla, M.D.

• Registered Nurse in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.