Individual provider Active NPI

Yalonda Marie Boler, DNP, FNP-BC, APRN

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1548800352
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012668 Issued in NC
Practice address
1235 Ramsey St
Fayetteville, NC 28301-4401
Phone
(910) 433-3834
Fax
(910) 433-3898
NPI assigned
Jan 9, 2020
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012668 NC Primary

Addresses

Primary practice location

1235 Ramsey St
Fayetteville, NC 28301-4401

Mailing address

1235 Ramsey St
Fayetteville, NC 28301-4401
Phone (910) 433-3834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200420003187 NC Practitioner - Nurse Practitioner 0042640716 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Health Dept CurrentSince Feb 6, 2020 Accepting new patients

Locations

1235 Ramsey St
Fayetteville, NC 28301
Phone (910) 433-3600

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.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1548800352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014401",
            "telephone_number": "910-433-3834",
            "fax_number": "910-433-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014401",
            "telephone_number": "910-433-3834",
            "fax_number": "910-433-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLER",
        "first_name": "YALONDA",
        "middle_name": "MARIE",
        "credential": "DNP, FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2021-06-07",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.