Joseph Boulos , CRNA
Nurse Anesthetist, Certified Registered • St Augustine, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joseph Boulos has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Joseph Boulos, CRNA was a registered Nurse Anesthetist, Certified Registered practicing in St Augustine, FL. Throughout an active medical career spanning 18 years, Joseph Boulos provided care at the practice location at 400 HEALTH PARK BLVD until profile deactivation on 2024-12-12.
Practice Location & Contact Primary Location
400 Health Park Blvd
St Augustine, FL 320865784
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Anesthetist, Certified Registered in St Augustine, FL
Practicing in St Augustine, FL (6544 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 367500000X
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Anesthesiology
Doctor of Medicine (M.D.)
Pediatrics - Neonatal-Perinatal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist, Master of Science
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 12, 2024
NPI status registered as active in NPPES database
Registered at 400 HEALTH PARK BLVD, ST AUGUSTINE, FL 320865784 (Tel: 9048194478)
Registered at 1605 LAKES PKWY, LAWRENCEVILLE, GA 300435858 (Tel: 9048194478)
Recorded as JOSEPH BOULOS, CRNA
Nurse Anesthetist, Certified Registered (License #ARNP2080202 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1605 Lakes Pkwy
Lawrenceville, GA 300435858
Phone: 9048194478
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