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COURTNEY TAYLOR BOIVIN NP
NPI 1457990798
Nurse Practitioner - Pediatrics in Saint Louis, MO

Active since January 03, 2020
12436 TESSON FERRY RD, SAINT LOUIS, MO 63128(314) 454-6336 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2021, Mar 7, 2020, Jan 3, 2020 (3 updates tracked since 2020).

About Courtney Taylor Boivin Np NPPES

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

COURTNEY TAYLOR BOIVIN NP (NPI 1457990798) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2019043941) and active in the NPI registry since January 2020. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1457990798
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCOURTNEY TAYLOR BOIVINCredential: NP
Location Address12436 TESSON FERRY RDSaint Louis, MO 63128-2702
Mailing Address12436 Tesson Ferry RdSaint Louis, MO 63128-2702 · (314) 973-5177
Phone(314) 454-6336
Sole ProprietorNo
Enumeration DateJanuary 3, 2020
Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1457990798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2019043941
12436 TESSON FERRY RD, Saint Louis, MO 63128
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Secondary Practice Location 1

Location 11 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 454-6111

Other Providers at the Same Location NPPES

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

ST. LOUIS CHILDRENS HOSPITAL
Pediatrics
12436 TESSON FERRY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 454-6336

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 Courtney Boivin's NPI number?

The NPI number for Courtney Boivin is 1457990798. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Where is Courtney Boivin located?

Courtney Boivin practices at 12436 Tesson Ferry Rd, Saint Louis, MO 63128. The listed phone number is (314) 454-6336.

What is Courtney Boivin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Courtney Boivin was last updated on November 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.