Active NPI
Sharon M Boyle, CPNP
- Pediatric Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1992952204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024047330
- Practice address
- 3650 Joseph Siewick Dr
Suite 101
Fairfax, VA 22033-1710 - Phone
- (703) 391-0900
- Fax
- (703) 391-2919
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024047330 | VA | Primary |
Addresses
Primary practice location
3650 Joseph Siewick Dr
Suite 101
Fairfax, VA 22033-1710
Mailing address
3650 Joseph Siewick Dr
Suite 101
Fairfax, VA 22033-1710
Phone (703) 391-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024047330 | VA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1992952204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 JOSEPH SIEWICK DR",
"address_2": "SUITE 101",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331710",
"telephone_number": "703-391-0900",
"fax_number": "703-391-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 JOSEPH SIEWICK DR",
"address_2": "SUITE 101",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331710",
"telephone_number": "703-391-0900",
"fax_number": "703-391-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "SHARON",
"middle_name": "M",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024047330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.