Sylvia D. Boesch-Lewis, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Greeneville, TN
NPI 1992946875 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1992946875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 14052 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130924000501 | TN | Practitioner - Nurse Practitioner | 7911141411 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Family | Current |
Accepting new patients |
| Blue Ridge Medical Management Corporation | Current |
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
428 E Vann Rd
Greeneville, TN 37743
Phone (423) 278-1950
1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14052 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4368756 | Other | TN | BCBST |
| 4358756 | Other | TN | BLUECARE |
| Q001870 | Medicaid | TN | |
| P01237840 | Other | TN | RAILROAD MEDICARE |
Other providers in Greeneville, TN
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Mangement Corporation
- Debbie Ann Bolton
- Johnathan Dallas Boone
- Courtney Larae Boren
- Kyle W Boren
- Katie Lynne Styke Boslooper
All providers in Greeneville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.