Marlo McHugh Boyles

Primary specialty

Dietary ManagerTaxonomy code 132700000X

Practice address

4328 Morning Ridge LN
Winston Salem, NC 27101-2275

Phone

(336) 575-3074

Fax

(336) 293-6212

NPI assigned

Apr 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1982058251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 MORNING RIDGE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012275",
            "telephone_number": "336-575-3074",
            "fax_number": "336-293-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 MORNING RIDGE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012275",
            "telephone_number": "336-575-3074",
            "fax_number": "336-293-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "MARLO",
        "middle_name": "MCHUGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranesha Denae Boyd
• Trent Marvin Boyer
• Lauren Andrews Boyette, LCMHCA
• Lakisha Patrice Boykin, LPCA
• Ryan Patrick Boyle, DO
• Michael Alexander Boyles, D.D.S.
• Aquanetta Boynton, BSW, MSW, LCSWA
• Kara Boysel, PHARMD.,BCOP
• Meredith Greeson Boyte, D.M.D.
• William Pyle Bozeman, MD

• Dietary Manager in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Dietary Manager in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.