1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Nurse Practitioner
  6. NPI Profile

THERESA M BOLEY CFNP
NPI 1184605743
Nurse Practitioner - Family in Springfield, IL

Active since November 10, 2005
315 W CARPENTER ST, 2ND FLOOR, SPRINGFIELD, IL 62702(217) 545-7422(217) 545-7053 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa M Boley Cfnp NPPES

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

THERESA M BOLEY CFNP (NPI 1184605743) is an individual family provider in Springfield, Illinois, licensed in Illinois (209000839) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1184605743
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA M BOLEYCredential: CFNP
Location Address315 W CARPENTER ST, 2ND FLOORSpringfield, IL 62702-4901
Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-7422 · Fax (217) 545-7053
Phone(217) 545-7422
Fax(217) 545-7053
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateOctober 24, 2012
✔ NPI 1184605743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209000839
315 W CARPENTER ST, Springfield, IL 62702
Open in Google Maps ↗

Other Identifiers 4

Medicare PINL72178IL
Medicare PIN522000IL
Medicaid449580260001IL
Medicare UPINS85973

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.

ASHLEY RACHEL MOHAN DO
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
IMRAN HASSAN M.D.
Colon & Rectal Surgery
315 W CARPENTER ST, 2 ND FLOOR
SPRINGFIELD, IL 62702
Sangamon County (217) 545-1025
DR. HAYDEN ELISE ROTRAMEL MD
Internal Medicine (Gastroenterology)
315 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MUAATAZ AZZAWI
Internal Medicine (Gastroenterology)
315 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
STEPHEN R HAZELRIGG M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
315 W CARPENTER ST, 2ND FLOOR
SPRINGFIELD, IL 62702
Sangamon County (217) 545-7422
KYUNGSUK JUNG MD MPH
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST, CLINIC B
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SARAH STETTNER
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DODIE GAZDA ANP-BC
Nurse Practitioner (Adult Health)
315 W CARPENTER ST, CLINIC B
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Theresa Boley's NPI number?

The NPI number for Theresa Boley is 1184605743. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Theresa Boley located?

Theresa Boley practices at 315 W Carpenter St 2nd Floor, Springfield, IL 62702. The listed phone number is (217) 545-7422.

What is Theresa Boley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Theresa Boley was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.