Cynthia M Boushie, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F3327451 Issued in NY

Practice address

5415 W Genesee St
Suite 301
Camillus, NY 13031-2162

Phone

(315) 487-8109

Fax

(315) 487-5680

NPI assigned

Feb 9, 2006

Last updated

Aug 17, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1326011305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 W GENESEE ST",
            "address_2": "SUITE 301",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312162",
            "telephone_number": "315-487-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 W GENESEE ST",
            "address_2": "SUITE 301",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312162",
            "telephone_number": "315-487-8109",
            "fax_number": "315-487-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSHIE",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3327451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02708547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jihad A Bengabr, MD
• Andrea Bestul, LMHC
• Zoryana R Bosak, N.P.
• Lisa Bost
• Kristin W Botwinick, CSW
• Jason Edward Bova Sr., RRT
• Madison Boyles
• Amy Braley
• Megan Brennan
• Gabriel Briggs, DPT

• Nurse Practitioner in Camillus, NY
• Providers in Camillus, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.