Individual provider Active NPI

Jan Lienke Boyer, RN, CDE

  • Diabetes Educator Registered Nurse
  • Spring Creek, NV
National Provider Identifier
1487958005
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RN52119 Issued in NV
Practice address
239 Flora Dr
Spring Creek, NV 89815-5126
Phone
(775) 397-5380
Fax
(775) 738-7499
NPI assigned
Dec 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RN52119 NV Primary

Addresses

Primary practice location

239 Flora Dr
Spring Creek, NV 89815-5126

Mailing address

239 Flora Dr
Spring Creek, NV 89815-5126
Phone (775) 397-5380

Other identifiers 1

IdentifierTypeStateIssuer
1487958005MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN52119NVMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Horizons, LLC CurrentSince Mar 11, 2013 Accepting new patients
Quality Health Care Corporation PastSince Feb 10, 2013 Accepting new patients

Locations

380 Court St
Elko, NV 89801
Phone (775) 738-8208

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1487958005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 FLORA DR",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155126",
            "telephone_number": "775-397-5380",
            "fax_number": "775-738-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 FLORA DR",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155126",
            "telephone_number": "775-397-5380",
            "fax_number": "775-738-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "JAN",
        "middle_name": "LIENKE",
        "credential": "RN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NV",
            "license": "RN52119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487958005",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Creek, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.