Individual provider Active NPI

Danielle Davis Boss, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1841616836
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
779417 Issued in TX
Practice address
21309 Foster Rd
Ste 100
Spring, TX 77388
Phone
(281) 587-1700
Fax
(281) 586-3808
NPI assigned
Mar 14, 2014
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 779417 TX Primary

Addresses

Primary practice location

21309 Foster Rd
Ste 100
Spring, TX 77388

Mailing address

21309 Foster Rd
Ste 100
Spring, TX 77388-4209
Phone (281) 587-1700

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
779417TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ikp Family Medicine P.a. CurrentSince Sep 23, 2024 Accepting new patients

Locations

11026 Highway 242
Conroe, TX 77385
Phone (281) 587-1700

21309 Foster Rd
#100
Spring, TX 77388
Phone (281) 587-1700

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.

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1841616836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-587-1700",
            "fax_number": "281-586-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSS",
        "first_name": "DANIELLE",
        "middle_name": "DAVIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "779417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.