Individual provider Active NPI

Elizabeth Ellen Bouley, FNP-BC, ARNP

  • Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1881940245
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
026253-23 Issued in NH
Practice address
2300 Southwood Dr
Nashua, NH 03063-1818
Phone
(603) 577-4000
NPI assigned
Aug 3, 2012
Last updated
Apr 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 026253-23 NH Primary

Addresses

Primary practice location

2300 Southwood Dr
Nashua, NH 03063-1818

Mailing address

2300 Southwood Dr
Nashua, NH 03063-1818
Phone (603) 577-4000

Other identifiers 1

IdentifierTypeStateIssuer
33400338MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Jan 22, 2020 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Littleton Hospital Association CurrentSince Jan 22, 2020 Accepting new patients

Locations

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

Organizations & group practices 3

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1881940245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SOUTHWOOD DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631818",
            "telephone_number": "603-577-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTHWOOD DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631818",
            "telephone_number": "603-577-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULEY",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "026253-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33400338",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.