Active NPI
Edward Joseph Boes, NP
- School Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1942525753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- RN374110
- Practice address
- 2703 Rockaway LN
Sacramento, CA 95835-2132 - Phone
- (916) 993-8131
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | RN374110 | CA | Primary |
Addresses
Primary practice location
2703 Rockaway LN
Sacramento, CA 95835-2132
Mailing address
2703 Rockaway LN
Sacramento, CA 95835-2132
Phone (916) 993-8131
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN374110 | CA | MD | School Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1942525753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 ROCKAWAY LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958352132",
"telephone_number": "916-993-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 ROCKAWAY LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958352132",
"telephone_number": "916-993-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOES",
"first_name": "EDWARD",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "CA",
"license": "RN374110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.