Active NPI
Julie Marie Boytim, RN, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 686777
- Practice address
- 2411 Fountain View Dr
Ste 200
Houston, TX 77057-4817 - Phone
- (713) 620-4000
- NPI assigned
- Sep 18, 2007
- Last updated
- Jul 7, 2015
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 686777 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Ste 200
Houston, TX 77057-4817
Mailing address
1737 Briarcrest Dr 14
Bryan, TX 77802-2739
Phone (979) 776-4777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104039 | Medicaid | LA | |
| P00821827 | Other | TX | RAILROAD MEDICARE |
| 191904502 | Medicaid | TX |
Other names 1
- Julie Marie Light
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3811 Sagebriar Dr
Bryan, TX 77802-6107
Phone (979) 774-9053
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 686777 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current | Accepting new patients | |
| Cowboy Anesthesia Services PLLC | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Bryan LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400
2206 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 774-4211
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
3811 Sagebriar Dr
Bryan, TX 77802
Phone (979) 774-0498
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
10141 US 59 Hwy
Wharton, TX 77488
Phone (281) 491-6808
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bryan, TX
- NPI 1558751834
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Nurse Anesthetist, Certified Registered
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Internal Medicine Physician
- College Station, TX
- NPI 1922061993
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Physicians Pain and Spine Centre
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1386830966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 BRIARCREST DR 14",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022739",
"telephone_number": "979-776-4777",
"fax_number": "979-776-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYTIM",
"first_name": "JULIE",
"middle_name": "MARIE",
"credential": "RN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "686777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104039",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00821827",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191904502",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "LIGHT",
"middle_name": "MARIE",
"credential": "RN, CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.