Active NPI
Suki L.P. Boydston, RN
- Registered Nurse
- Friday Harbor, WA
National Provider Identifier
1336679042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 00081186
- Practice address
- 145 Rhone St
Friday Harbor, WA 98250-8070 - Phone
- (360) 378-4474
- Fax
- (360) 378-7036
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 00081186 | WA | Primary |
Addresses
Primary practice location
145 Rhone St
Friday Harbor, WA 98250-8070
Mailing address
PO Box 607
Friday Harbor, WA 98250-0607
Phone (360) 378-4474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN00081186 | Other | WA | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00081186 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Juan | Past | Accepting new patients | |
| San Juan County Health & Community Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Friday Harbor, WA
- NPI 1780858894
-
- Public Health or Welfare Agency
- Friday Harbor, WA
- NPI 1891995114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1336679042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982500607",
"telephone_number": "360-378-4474",
"fax_number": "360-378-7036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 RHONE ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982508070",
"telephone_number": "360-378-4474",
"fax_number": "360-378-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYDSTON",
"first_name": "SUKI",
"middle_name": "L.P.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "00081186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN00081186",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.