Active NPI
Lauren Talbot Bova, NP
- Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1629599725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 341816
- Practice address
- 550 Harrison St
Ste M
Syracuse, NY 13202 - Phone
- (315) 464-1500
- Fax
- (315) 464-6117
- NPI assigned
- Jun 29, 2017
- Last updated
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 341816 | NY | Primary |
Addresses
Primary practice location
550 Harrison St
Ste M
Syracuse, NY 13202
Mailing address
550 Harrison St
Ste M
Syracuse, NY 13202
Phone (315) 464-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04854615 | Medicaid | NY |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341816 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1629599725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 HARRISON ST",
"address_2": "STE M",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-464-1500",
"fax_number": "315-464-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 HARRISON ST",
"address_2": "STE M",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-464-1500",
"fax_number": "315-464-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVA",
"first_name": "LAUREN",
"middle_name": "TALBOT",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "341816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04854615",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.