Individual provider Active NPI

Lashunta Boler

  • Social Worker
  • Normal, AL
National Provider Identifier
1699423640
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
Department of Social Work-Bhwtp2, Graduate Social Work
107 McCalep-McIntosh Hall
Normal, AL 35762
Phone
(205) 516-9075
Fax
(205) 206-9777
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Driver 172A00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

Department of Social Work-Bhwtp2, Graduate Social Work
107 McCalep-McIntosh Hall
Normal, AL 35762

Mailing address

Department of Social Work-Bhwtp2, Graduate Social Work
107 McCalep-McIntosh Hall
Normal, AL 35762
Phone (205) 516-9075

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lashunta.boler@bulldogs.aamu.edu 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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1699423640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF SOCIAL WORK-BHWTP2, GRADUATE SOCIAL WORK",
            "address_2": "107 MCCALEP-MCINTOSH HALL",
            "city": "NORMAL",
            "state": "AL",
            "postal_code": "35762",
            "telephone_number": "205-516-9075",
            "fax_number": "205-206-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF SOCIAL WORK-BHWTP2, GRADUATE SOCIAL WORK",
            "address_2": "107 MCCALEP-MCINTOSH HALL",
            "city": "NORMAL",
            "state": "AL",
            "postal_code": "35762",
            "telephone_number": "205-516-9075",
            "fax_number": "205-206-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLER",
        "first_name": "LASHUNTA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lashunta.boler@bulldogs.aamu.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Department of Social Work-BHWTP2, Graduate Social Work",
            "address_2": "107 McCalep-McIntosh Hall",
            "city": "Normal",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Normal, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.