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BOULEVARD FAMILY CLINIC LLC
NPI 1760774814
Family Medicine in Edmond, OK

Active since May 09, 2011
3431 S BOULEVARD, SUITE 109, EDMOND, OK 73013(405) 470-1884 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boulevard Family Clinic Llc NPPES

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

BOULEVARD FAMILY CLINIC LLC (NPI 1760774814) is a healthcare organization registered as a family medicine in Edmond, Oklahoma and active in the NPI registry since May 2011. The organization lists T Denise Cato, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760774814
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOULEVARD FAMILY CLINIC LLC
Location Address3431 S BOULEVARD, SUITE 109Edmond, OK 73013-5475
Mailing Address3431 S Boulevard, Suite 109Edmond, OK 73013-5475 · (405) 470-1884
Phone(405) 470-1884
Organization SubpartNo
Authorized OfficialT Denise CatoAdministrator · (405) 470-1884
Enumeration DateMay 9, 2011
✔ NPI 1760774814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3431 S BOULEVARD, Edmond, OK 73013
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. JESSICA ANNE DUTTON MSN, RN, APRN-CNP
Nurse Practitioner (Family)
3431 S BOULEVARD
EDMOND, OK 73013
Oklahoma County (405) 673-3773

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 Boulevard Family Clinic LLC's NPI number?

The NPI number for Boulevard Family Clinic LLC is 1760774814. It was assigned to this organization in the NPPES registry on May 9, 2011.

Where is Boulevard Family Clinic LLC located?

Boulevard Family Clinic LLC is located at 3431 S Boulevard Suite 109, Edmond, OK 73013. The listed phone number is (405) 470-1884.

What is Boulevard Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Boulevard Family Clinic LLC was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.