Nicole L Boysen, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2006008944 Issued in MO

Practice address

1212 Weber Road
Farmington, MO 63640

Phone

(573) 756-4581

Fax

(573) 756-5834

NPI assigned

Jun 23, 2006

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)

Enrolled

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 and National Provider Directory roles.

• Farmington Missouri Hospital Company LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Farmington, MO
  • NPI 1316989114
  NPD (past)
• Farmington Missouri Hospital Company LLC

  • Medical Oncology Physician
  • Farmington, MO
  • NPI 1407898208
  NPD (past)
• Farmington Missouri Hospital Company LLC

  • Clinic/Center
  • Farmington, MO
  • NPI 1477596245
  NPD (past)
• Farmington Missouri Hospital Company LLC

  • Anesthesiology Physician
  • Farmington, MO
  • NPI 1952343758
  NPD (past)
• SSM Health Care of Wisconsin Inc

  • Registered Dietitian
  • Baraboo, WI
  • NPI 1467435214

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225064074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 WEBER ROAD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-4581",
            "fax_number": "573-756-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 WEBER ROAD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-4581",
            "fax_number": "573-756-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYSEN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2006008944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre P Bouhasin, MD
• Dena Boyd
• Boyer Counseling and Care LLC
• David Paul Boyer, LPC
• Paula Michelle Boyer, CSS
• Brad McMillin, Inc
• Briley Bradley, FNP-C
• Nola Lynn Brady
• Billie Jo Branson
• Lavaughn Brathwaite, PSY.D.

• Registered Dietitian in Farmington, MO
• Providers in Farmington, MO by specialty
• Registered Dietitian in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.