LISSA BOILEAU
NPI 1174840367
Nurse Practitioner - Psychiatric/Mental Health in Ronkonkoma, NY

NPI Status: Active since April 27, 2010

Contact Information

2 THE PLZ
RONKONKOMA, NY
ZIP 11779
Phone: (631) 676-2765

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About LISSA BOILEAU

This page provides the complete NPI Profile along with additional information for Lissa Boileau, a provider established in Ronkonkoma, New York with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1174840367 assigned on April 2010. The practitioner's primary taxonomy code is 363LP0808X with license number 406771 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1174840367
Provider Name
LISSA BOILEAU
Gender
Female
Entity Type
Individual
Location Address
2 THE PLZ RONKONKOMA, NY 11779
Location Phone
(631) 676-2765
Mailing Address
2 THE PLZ RONKONKOMA, NY 11779
Is Sole Proprietor?
Yes
Enumeration Date
04-27-2010
Last Update Date
02-06-2025
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A nurse practitioner (NP) like Lissa Boileau is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
406771
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

22609284 (NY)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174840367
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441640312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 4 + 0 + 3 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1174840367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174840367, enumerated in the NPI registry as an "individual" on April 27, 2010

The provider is located at 2 The Plz Ronkonkoma, Ny 11779 and the phone number is (631) 676-2765

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on April 27, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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