Diana Nicole Boyle, RN, BSN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

780495 Issued in NY

Practice address

5 Vega Dr
Shoreham, NY 11786-2306

Phone

(631) 566-4373

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1417670829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VEGA DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862306",
            "telephone_number": "631-566-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 VEGA DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862306",
            "telephone_number": "631-566-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "DIANA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "780495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Barnett
• Christian Patrick Becker, RT
• Pooja Berdia, OD
• Daniel D. Birkmire, D.D.S.
• Kaitlyn Elizabeth Boulukos, M.S CCC-SLP
• Amilie Brennan
• Bridget M Camilleri, RDH
• Michael Joseph Canzoniero, PH.D
• Roxanne Caporino, MSW
• Cheryl Marie Carroll, PT

• Medical-Surgical Registered Nurse in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Medical-Surgical Registered Nurse in New York

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

Verify at the official NPI Registry.