Active NPI
Tammie Sue Boeger, APRN, BC
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1467477356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28113014A
- Practice address
- 3851 Roger Brooke Dr
McHe-QD (Credentials)
San Antonio, TX 78234-4501 - Phone
- (210) 916-2460
- Fax
- (210) 916-5102
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28113014A | IN | Primary |
Addresses
Primary practice location
3851 Roger Brooke Dr
McHe-QD (Credentials)
San Antonio, TX 78234-4501
Mailing address
3851 Roger Brooke Dr
McHe-QD (Credentials)
San Antonio, TX 78234-4501
Phone (210) 916-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28113014A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467477356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "MCHE-QD (CREDENTIALS)",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "210-916-2460",
"fax_number": "210-916-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "MCHE-QD (CREDENTIALS)",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "210-916-2460",
"fax_number": "210-916-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEGER",
"first_name": "TAMMIE",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28113014A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.