Lisa Ann Boeke, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

46215 Issued in NE

Practice address

626 N St
Loup City, NE 68853-8110

Phone

(308) 745-0780

Fax

(308) 745-0446

NPI assigned

Jun 27, 2011

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)

Not enrolled

Credentials

Registered Nurse

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.

• Central Nebraska Community Services, Inc.

  • Community/Behavioral Health Agency
  • Loup City, NE
  • NPI 1538455084
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1346536588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "address_2": "626 N STREET",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688530509",
            "telephone_number": "308-745-0780",
            "fax_number": "308-745-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N ST",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688538110",
            "telephone_number": "308-745-0780",
            "fax_number": "308-745-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "46215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virach Anantachai, M.D.
• Benson Family Dentistry, LLC
• Vickie Lynn Butler
• Central Nebraska Community Services, Inc.
• City of Loup City
• Kristi Kaye Dorsey, RN
• Ryan Elsner

• Registered Nurse in Loup City, NE
• Providers in Loup City, NE by specialty
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.