Individual provider Active NPI

Kathleen Mary Boyle-Giannini, CRNP

  • Gerontology Nurse Practitioner
  • Gwynedd, PA
National Provider Identifier
1710985494
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
VP001558H Issued in PA
Practice address
1120 Meetinghouse Rd
Gwynedd, PA 19436-1000
Phone
(215) 283-7077
Fax
(215) 283-7056
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X VP001558H PA Primary

Addresses

Primary practice location

1120 Meetinghouse Rd
Gwynedd, PA 19436-1000

Mailing address

PO Box 482
Harleysville, PA 19438-0482
Phone (610) 287-3975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111222000267 PA Practitioner - Nurse Practitioner 9133395189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Perelman School of Med at the University of Pennsylvania, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foulkeways at GwyneddGroup PAC ID 4082600283, 5 clinicians

Practice addresses (Care Compare)

1120 Meetinghouse Rd
Gwynedd, PA 19436-1000
Phone (215) 643-2200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foulkeways at Gwynedd Gerontology CurrentSince Jan 1, 1966 Accepting new patients

Locations

1120 Meetinghouse Rd
Gwynedd, PA 19436
Phone (215) 643-2200

Interoperability endpoints

  • Direct secure messaging: foulkewaysatgwyneddhealthservices.kathleenboylegiannini@144782.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1710985494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 482",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194380482",
            "telephone_number": "610-287-3975",
            "fax_number": "215-283-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEETINGHOUSE RD",
            "city": "GWYNEDD",
            "state": "PA",
            "postal_code": "194361000",
            "telephone_number": "215-283-7077",
            "fax_number": "215-283-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE-GIANNINI",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "VP001558H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynedd, PA

Sources for this page

Verify at the official NPI Registry.