Individual provider Active NPI

Betty E Boyle-Duke, C-PNP

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1902002660
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F381389 Issued in NY
Practice address
726 Broadway
10TH Floor-College of Nursing
New York, NY 10003-9502
Phone
(917) 696-5626
Fax
(212) 995-4302
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F381389 NY Primary

Addresses

Primary practice location

726 Broadway
10TH Floor-College of Nursing
New York, NY 10003-9502

Mailing address

428 Greene Ave
Brooklyn, NY 11216-1109

Other identifiers 1

IdentifierTypeStateIssuer
F381389OtherNYLICENSE NUMBER

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F381389NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1902002660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 BROADWAY",
            "address_2": "10TH FLOOR-COLLEGE OF NURSING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039502",
            "telephone_number": "917-696-5626",
            "fax_number": "212-995-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE-DUKE",
        "first_name": "BETTY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "C-PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "F381389",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.