Katherine Marie O'Boyle, CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN.CNP021241 Issued in OH

Practice address

8655 Market St
Mentor, OH 44060-4406

Phone

(440) 701-7620

Fax

(440) 701-7621

NPI assigned

Jul 19, 2017

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherineoboyle@uhps.allscriptsdirect.net
• Direct secure messaging: koboyle28086@ehrdirect.uhhospitals.org
• Direct secure messaging: revitalizingyou!llc.katherineo'boyle@160417.advancedmd-direct.com

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.

• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996
  Medicare reassignment NPD
• Uh Regional Hospitals

  dba Geauga House Providers

  • Nurse Practitioner
  • Chardon, OH
  • NPI 1962886002
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Lake Hospital System Inc.

  • Adult Health Nurse Practitioner
  • Concord TWP, OH
  • NPI 1043275837
  NPD
• Lake Hospital System, Inc

  dba Lake Health Urgent Care and Walk In Clinic

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966
  NPD
• Uh Regional Hospitals

  dba UH Regional Hospitals Urgent Care

  • Urgent Care Clinic/Center
  • Ashtabula, OH
  • NPI 1003346834
  NPD
• Uh Regional Hospitals

  dba UH Geauga Medical Center, A Campus of UH Regional Hospitals

  • Psychiatric Hospital Unit
  • Chardon, OH
  • NPI 1780762120
  NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952824138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11395 SADDLEWOOD LN",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440778965",
            "telephone_number": "855-247-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 MARKET ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604406",
            "telephone_number": "440-701-7620",
            "fax_number": "440-701-7621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14121 Parke Long Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "855-247-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14121 Parke Long Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "855-247-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27100 Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "OH",
            "postal_code": "441431116",
            "country_code": "US",
            "telephone_number": "440-585-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13207 Ravenna Rd",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440247032",
            "country_code": "US",
            "telephone_number": "440-285-6476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BOYLE",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP021241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherineoboyle@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13207 Ravenna Rd",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440247032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherineoboyle@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13207 Ravenna Rd",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440247032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherineoboyle@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13207 Ravenna Rd",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440247032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Terese Ann Notte, LSW, LPCC-S
• Louis J Novak, MD
• Ashley Novinc
• Ivy Novosel
• Craig A Nyerges, D.D.S.
• Kelly O'Connor, PA-C
• Christine Marie O'Leary, ATC, LAT
• Tremaine Booth Oatman, D.P.M.
• Kim Occhipinti, CDCA
• Olusegun Ademola Ogunlesi, M.D, M.H.S

• Primary Care Nurse Practitioner in Mentor, OH
• Providers in Mentor, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.