Individual provider Active NPI

Sylvia D. Boesch-Lewis, FNP-BC

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1992946875
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14052 Issued in TN
Practice address
1406 Tusculum Blvd Ste 4
Greeneville, TN 37745-4332
Phone
(423) 798-6630
Fax
(423) 798-6633
NPI assigned
Mar 23, 2009
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14052 TN Primary

Addresses

Primary practice location

1406 Tusculum Blvd Ste 4
Greeneville, TN 37745-4332

Mailing address

1406 Tusculum Blvd Ste 1200
Greeneville, TN 37745-4341
Phone (423) 798-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20130924000501 TN Practitioner - Nurse Practitioner 7911141411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Family CurrentSince Apr 27, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 27, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Family Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1406 Tusculum Blvd
Ste 1200
Greeneville, TN 37745
Phone (423) 783-5520

1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891

428 E Vann Rd
Greeneville, TN 37743
Phone (423) 278-1950

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

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.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1992946875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD STE 1200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454341",
            "telephone_number": "423-798-6630",
            "fax_number": "423-798-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD STE 4",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-798-6630",
            "fax_number": "423-798-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESCH-LEWIS",
        "first_name": "SYLVIA",
        "middle_name": "D.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.