DIANE BOULAI LPN NPI 1437442803

Licensed Practical Nurse in College Park, GA

NPI 1437442803 Individual Female Licensed Practical Nurse PECOS Enrolled

About DIANE BOULAI

Diane Boulai is a provider established in College Park, Georgia and her medical specialization is licensed practical nurse. The NPI number of Diane Boulai is 1437442803 and was assigned on May 2011. The practitioner's primary taxonomy code is 164W00000X with license number LPN061853 (GA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

Diane Boulai is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

Diane Boulai is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1437442803

Provider Name DIANE BOULAI LPN
Provider Location Address5524 OLD NATIONAL HWY SUITE B COLLEGE PARK, GA 30349
Provider Mailing Address525 MICA TRCE COLLEGE PARK, GA 30349
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-18-2011
Last Update Date05-18-2011


Primary Taxonomy

Taxonomy Code164W00000X
ClassificationLicensed Practical Nurse
TypeNursing Service Providers
License No.LPN061853
License StateGA
Taxonomy DescriptionAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Business Address

DIANE BOULAI LPN
5524 OLD NATIONAL HWY
SUITE B
COLLEGE PARK, GA
ZIP 30349
Phone: (404) 763-8555
Fax: (404) 763-8502

Get Directions


Mailing Address

DIANE BOULAI LPN
525 MICA TRCE
COLLEGE PARK, GA
ZIP 30349
Phone: (404) 763-8555
Fax: (404) 763-8502



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingNo
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225232440 LISA M HEWITT-GEER LCSW
Individual
Social Worker (Clinical)5524 OLD NATIONAL HWY BUILDING B, SUITE 150-A
COLLEGE PARK, GA 30349
(404) 541-3074
1023301405 KIRA S BRADLEY CACII
Individual
Counselor (Addiction (Substance Use Disorder))5524 OLD NATIONAL HWY
COLLEGE PARK, GA 30349
(404) 763-8555
1700179637 MONICA DENISE BORUM LPN
Individual
Licensed Practical Nurse5524 OLD NATIONAL HWY SUITE B
COLLEGE PARK, GA 30349
(404) 763-8555
1174802029 MARY BOTCHEY RN
Individual
Registered Nurse5524 OLD NATIONAL HWY STE B
COLLEGE PARK, GA 30349
(404) 763-8555
1942589734 JUNE MITCHELL RN
Individual
Registered Nurse5524 OLD NATIONAL HWY STE B
COLLEGE PARK, GA 30349
(404) 763-8555
1073887899 CARLA WARRICK
Individual
Social Worker5524 OLD NATIONAL HWY STE B
COLLEGE PARK, GA 30349
(404) 763-8555
1396092953 ANDRE MCDANIEL
Individual
Counselor (Addiction (Substance Use Disorder))5524 OLD NATIONAL HWY STE B
COLLEGE PARK, GA 30349
(404) 763-8555
1477800993 DARRELL M BROOKS
Individual
Counselor (Professional)5524 OLD NATIONAL HWY STE B
COLLEGE PARK, GA 30349
(404) 763-8555
1164768537 NICOLE CHAVANNES
Individual
Registered Nurse5524 OLD NATIONAL HWY STE B
COLLEGE PARK, GA 30349
(404) 763-8555

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.