Individual provider Active NPI

William Boston

  • Family Health Clinical Nurse Specialist
  • Greenwell Springs, LA
National Provider Identifier
1487063590
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
AP07997 Issued in LA
Practice address
18448 Magnolia Bridge Rd Ste a
Greenwell Springs, LA 70739-4626
Phone
(225) 256-0063
Fax
(225) 256-0217
NPI assigned
Aug 4, 2014
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X AP07997 LA Primary

Addresses

Primary practice location

18448 Magnolia Bridge Rd Ste a
Greenwell Springs, LA 70739-4626

Mailing address

18448 Magnolia Bridge Rd Ste a
Greenwell Springs, LA 70739-4626
Phone (225) 256-0063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151216000415 LA Practitioner - Nurse Practitioner 6608177662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Boston Primary Care LLCGroup PAC ID 6901299809, 3 clinicians

Practice addresses (Care Compare)

18448 Magnolia Bridge Rd
Suite a
Greenwell Springs, LA 70739-4626
Phone (225) 256-0063

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07997LAMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Primary Care LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

18448 Magnolia Bridge Rd
#A
Greenwell Springs, LA 70739
Phone (225) 256-0063

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24590/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.boston.1@24590.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1487063590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18448 MAGNOLIA BRIDGE RD STE A",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394626",
            "telephone_number": "225-256-0063",
            "fax_number": "225-256-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18448 MAGNOLIA BRIDGE RD STE A",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394626",
            "telephone_number": "225-256-0063",
            "fax_number": "225-256-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "LA",
            "license": "AP07997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwell Springs, LA

Sources for this page

Verify at the official NPI Registry.