CHRISTINA L. BOULL MD – NPI #1225222862
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Health Care Provider Taxonomy Code for Dermatology

CHRISTINA BOULL is a dermatologist located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1225222862 to CHRISTINA BOULL on August 28, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTINA BOULL below.

NPI Profile for
CHRISTINA L. BOULL

NPI Number
1225222862
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CHRISTINA L. BOULL
Credentials
MD
Primary location
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone: (612) 365-6777 Fax: (612) 365-4370
1 Other location(s):
715 S 8th St
Minneapolis, MN 55404-1210
Phone: (612) 873-6963
Mailing address
720 WASHINGTON AVE SE
MINNEAPOLIS, MN 55414-2924
Phone: (651) 884-0749 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 21, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)		 MN 52943
207N00000X
- Dermatology		 MN 52943

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHRISTINA BOULL is affiliated with the following medical group(s):
  • HOSPITAL
    • M HEALTH FAIRVIEW UNIVERSITY OF MN
      2450 RIVERSIDE AVENUE
      MINNEAPOLIS, MN 55454

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