Active NPI
Andrea Boye
- Electroneurodiagnostic Specialist/Technologist
- Las Vegas, NV
National Provider Identifier
1790003606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 1797 CNIM
- Practice address
- 9811 W Charleston Blvd
Las Vegas, NV 89117-7528 - Phone
- (855) 864-4322
- NPI assigned
- May 17, 2010
- Last updated
- May 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1797 CNIM | Primary | |
| EEG Technician | 2472E0500X | 1797 CNIM |
Addresses
Primary practice location
9811 W Charleston Blvd
Las Vegas, NV 89117-7528
Mailing address
9811 W Charleston Blvd # 2-641
2-641
Las Vegas, NV 89117-7528
Phone (855) 864-4322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912171760 | Other | GROUP NPI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satellite Medical LLC | Electroneurodiagnostic | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Electroneurodiagnostic Specialist/Technologist
- Folsom, CA
- NPI 1184191256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1790003606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 W CHARLESTON BLVD # 2-641",
"address_2": "2-641",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177528",
"telephone_number": "855-864-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177528",
"telephone_number": "855-864-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYE",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": "1797 CNIM",
"primary": true
},
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": "1797 CNIM",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1912171760",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.