Active NPI
Jan Lienke Boyer, RN, CDE
- Diabetes Educator Registered Nurse
- Spring Creek, NV
National Provider Identifier
1487958005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- RN52119
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487958005 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN52119 | NV | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Horizons, LLC | Current | Accepting new patients | |
| Quality Health Care Corporation | Past | 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.
-
- Medical-Surgical Clinical Nurse Specialist
- Spring Creek, NV
- NPI 1811223704
-
- Home Health Agency
- Reno, NV
- NPI 1497746226
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.