BOULEVARD FAMILY CLINIC
NPI 1821515032
Nurse Practitioner - Family in Edmond, OK

Active since August 28, 2017
3431 S BOULEVARD STE 109, EDMOND, OK 73013(405) 562-1870(405) 562-1871 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017 (2 updates tracked since 2017).

About Boulevard Family Clinic NPPES

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

BOULEVARD FAMILY CLINIC (NPI 1821515032) is a healthcare organization registered as a family in Edmond, Oklahoma and active in the NPI registry since August 2017. The organization lists Tina Gay Joy, Family Nurse Practitioner, Provider, as its authorized official.

NPPES Registry Identity

NPI1821515032
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTINA JOY APRN-CNP, FNP-BC, LLC
Location Address3431 S BOULEVARD STE 109Edmond, OK 73013-5514
Mailing Address3431 S Boulevard Ste 109Edmond, OK 73013-5514 · (405) 562-1870 · Fax (405) 562-1871
Fax(405) 562-1871
Organization SubpartNo
Authorized OfficialTina Gay JoyFamily Nurse Practitioner, Provider · (405) 312-2775
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1821515032 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 OK · 77055
3431 S BOULEVARD STE 109, Edmond, OK 73013

Other Names 1

Doing Business AsBoulevard Family Clinic

Other Identifiers 2

Other77055OK · Aprn-cnp
Other2015022832OK · Ancc

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.

Nurse Practitioner (Family)
3431 S BOULEVARD STE 109
EDMOND, OK 73013

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 Tina Joy Aprn-Cnp, Fnp-Bc, LLC's NPI number?

The NPI number for Tina Joy Aprn-Cnp, Fnp-Bc, LLC is 1821515032. It was assigned to this organization in the NPPES registry on August 28, 2017. The provider is doing business as Boulevard Family Clinic.

Where is Tina Joy Aprn-Cnp, Fnp-Bc, LLC located?

Tina Joy Aprn-Cnp, Fnp-Bc, LLC is located at 3431 S Boulevard Ste 109, Edmond, OK 73013. The listed phone number is (405) 562-1870.

What is Tina Joy Aprn-Cnp, Fnp-Bc, LLC'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 Tina Joy Aprn-Cnp, Fnp-Bc, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.