Boulder Primary Care Inc.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

BOULDER PRIMARY CARE INC.

Practice address

1252 Wyoming St
Suite 200
Boulder City, NV 89005-2745

Phone

(702) 293-4488

Fax

(702) 293-4487

NPI assigned

Dec 3, 2015

Last updated

Dec 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marcia A Smith

Title

Corporate Secretary

Phone

(702) 293-4488

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence J Smith, APRN-C, DC

  • Adult Health Nurse Practitioner
  • Palm Harbor, FL
  • NPI 1336245067
  NPD

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1780059675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 WYOMING ST",
            "address_2": "SUITE 200",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052745",
            "telephone_number": "702-293-4488",
            "fax_number": "702-293-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 WYOMING ST",
            "address_2": "SUITE 200",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052745",
            "telephone_number": "702-293-4488",
            "fax_number": "702-293-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER PRIMARY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "702-293-4488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boulder City Nevada (dba Boulder City Fire Department)
• Boulder City NV Opco LLC
• Boulder City Outpatient Surgery Center
• Boulder Counseling Center Inc
• Boulder Foot & Ankle Center, LTD.
• James Boydston
• Andrew Franz Bozzelli, LCSW
• Alexis Marie Bringle, RPH
• Andre Brown
• Casey Elizabeth Bunker, FNP

• Primary Care Nurse Practitioner in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Primary Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.