Diana Lee Boyle, RN CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25849 Issued in WV

Practice address

718 W Main St
Grafton, WV 26354

Phone

(304) 265-1288

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1598863359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W MAIN ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541157",
            "telephone_number": "304-265-1288",
            "fax_number": "304-265-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W MAIN ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "26354",
            "telephone_number": "304-265-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "DIANA",
        "middle_name": "LEE",
        "credential": "RN CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "25849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016659000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Bolyard
• Clarissa Hope Bolyard
• Mistyazia Bolyard
• Sherry L Bolyard
• Haley Nicole Bostic, M.S. CCC-SLP
• Lora A Boylen
• Jody H. Boyles, DDS
• Alford Bradford
• Tammy Sue Bradford
• Edward P Brennan II, DO

• Family Nurse Practitioner in Grafton, WV
• Providers in Grafton, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.

Verify at the official NPI Registry.