Active NPI
Donna Kay Boylan, NNP
- Critical Care Neonatal Nurse Practitioner
- Lumberton, NC
National Provider Identifier
1689630113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 5004687
- Practice address
- 300 W 27TH St
Lumberton, NC 28358-3075 - Phone
- (910) 671-5000
- NPI assigned
- Apr 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F350154-1 | NY | |
| Neonatal Nurse Practitioner | 363LN0000X | F350154 | NY | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 5004687 | NC | Primary |
Addresses
Primary practice location
300 W 27TH St
Lumberton, NC 28358-3075
Mailing address
600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 737-4543
Other practice location 1
600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 737-4543
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dboylan799685@direct.UNC.nchie.net | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350154 | NY | MD | Family Medicine Physician |
| F350154-1 | NY | MD | Nurse Practitioner |
| F350154 | NY | MD | Neonatal Nurse Practitioner |
| 5004687 | NC | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- dboylan799685@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1689630113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ROE AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051629",
"telephone_number": "607-737-4543",
"fax_number": "607-737-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 27TH ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583075",
"telephone_number": "910-671-5000"
}
],
"practiceLocations": [
{
"address_1": "600 Roe Ave",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149051629",
"country_code": "US",
"telephone_number": "607-737-4543",
"fax_number": "607-737-7774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYLAN",
"first_name": "DONNA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F350154-1",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NY",
"license": "F350154",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NC",
"license": "5004687",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dboylan799685@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "300 W 27th St",
"city": "Lumberton",
"state": "NC",
"country_code": "US",
"postal_code": "283583075",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.