Active NPI
Genevieve C Boulay, CRNA
- Certified Registered Nurse Anesthetist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 184463
- Practice address
- 400 W 16TH St
Pueblo, CO 81003-2745 - Phone
- (719) 584-4420
- NPI assigned
- Dec 3, 2007
- Last updated
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 480224 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 184463 | CO | Primary |
Addresses
Primary practice location
400 W 16TH St
Pueblo, CO 81003-2745
Mailing address
1218 N Main St
Pueblo, CO 81003-2828
Phone (719) 533-7877
Other practice location 1
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Other practice location 2
5801 E Taft Rd
Syracuse, NY 13212-3291
Phone (315) 418-4140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184463 | Other | CO | COLORADO LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511
1180 N Indian Canyon Dr
Suite W110
Palm Springs, CA 92262-4886
Phone (706) 416-4600
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coachella Valley Anesthesia a Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Desert Cities Anesthesia Professionals | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Matthew J Furman, D.O. LLC | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
1180 N Indian Canyon Dr
Ste W110
Palm Springs, CA 92262
Phone (760) 416-4600
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
Organizations & group practices 4
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.
-
dba Arunkumar Thunga
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1013662048
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- Palm Springs, CA
- NPI 1386016087
Nurse Anesthetist, Certified Registered
-
- Pain Medicine Physician
- Pueblo, CO
- NPI 1952739427
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1952583874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 N MAIN ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032828",
"telephone_number": "719-533-7877",
"fax_number": "719-543-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745",
"telephone_number": "719-584-4420"
}
],
"practiceLocations": [
{
"address_1": "736 Irving Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101602",
"country_code": "US",
"telephone_number": "315-470-7111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5801 E Taft Rd",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132123291",
"country_code": "US",
"telephone_number": "315-418-4140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULAY",
"first_name": "GENEVIEVE",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "480224",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "184463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENSE",
"identifier": "184463",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.