Tiffany E Bould, FNP-C,APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5015144 Issued in NC

Practice address

4250 Congress St Ste 900
Charlotte, NC 28209-0044

Phone

(980) 299-5644

NPI assigned

May 23, 2006

Last updated

Oct 20, 2021By 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 3

Addresses

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1336194877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 ELDRIDGE PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771670",
            "telephone_number": "832-486-1484",
            "fax_number": "832-486-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CONGRESS ST STE 900",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282090044",
            "telephone_number": "980-299-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULD",
        "first_name": "TIFFANY",
        "middle_name": "E",
        "credential": "FNP-C,APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015144",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NC",
            "license": "5015144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim L Boubon, LCSW
• Jonathan Daniel Bouchez, M.D.
• Grace Catherine Bouchoucha, LCSWA
• Erin Nicole Boudoin
• Victoria Bouhairie, M.D.
• Charee Boulter, PHD
• Robin Vanessa Boulware-Abraham
• Andrea Boulware, LCMHCA
• Mary Alice Boulware, NP
• Richard Boulware, P.A.

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.