Elizabeth Ann Boison, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Columbia, SC
NPI 1245447192 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1245447192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 284 (SC)
- Practice address
- 7037 Saint Andrews Rd
Columbia, SC 29212-1177 - Phone
- (803) 732-0963
- Fax
- (803) 732-1406
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091123000048 | SC | Practitioner - Nurse Practitioner | 7113066606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN 284 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current |
Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current |
Accepting new patients |
Locations
7037 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 732-0963
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN 284 | SC | |
| Family Nurse Practitioner | 363LF0000X | 284 | SC | Yes |
Addresses
Primary practice location
7037 Saint Andrews Rd
Columbia, SC 29212-1177
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51524 | Other | SC | RN LICENSE |
Other names
- Miss Elizabeth Edmands
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eboison11042@direct.lexmed.com |
Other providers in Columbia, SC
- Gracetta Washington Bogar
- Katherine Boggeman
- Elizabeth W Boggs
- Joanne Boggs
- Robin Bohot
- Jordan Bolan
- Caroline Boland
- Elizabeth Kolb Boland
- Janet Updyke Boland
- Joseph Patrick Boland
All providers in Columbia, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.