1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Pediatrics
  6. NPI Profile

ALEXIS CHEN BOULTER
NPI 1114488871
Pediatrics - Pediatric Hematology-Oncology in Philadelphia, PA

Active since March 26, 2019
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HEMATOLOGY - ONCOLOGY, PHILADELPHIA, PA 19104(267) 426-3574 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexis Chen Boulter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS CHEN BOULTER (NPI 1114488871) is an individual pediatric hematology-oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT228513) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1114488871
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameALEXIS CHEN BOULTER
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HEMATOLOGY - ONCOLOGYPhiladelphia, PA 19104
Mailing Address2013 Sansom StreetPhiladelphia, PA 19103 · (904) 236-3354
Phone(267) 426-3574
Sole ProprietorNo
Enumeration DateMarch 26, 2019
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1114488871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in PA · MT228513
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Boulter's NPI number?

The NPI number for Alexis Boulter is 1114488871. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Alexis Boulter located?

Alexis Boulter practices at 3401 Civic Center Blvd Division Of Pediatric Hematology - Oncology, Philadelphia, PA 19104. The listed phone number is (267) 426-3574.

What is Alexis Boulter's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for Alexis Boulter was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.