Autumn Brooke Boyd, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Practice address

119 Gas Plant Road
Rea Clinic Du Quoin
Du Quoin, IL 62832

Phone

(618) 542-8702

Fax

(618) 542-8792

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003917162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "address_2": "REA CLINIC",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "62822",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GAS PLANT ROAD",
            "address_2": "REA CLINIC DU QUOIN",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "62832",
            "telephone_number": "618-542-8702",
            "fax_number": "618-542-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "AUTUMN",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Becker, LPN
• Rhonda Bigham
• Bio-Medical Applications of Illinois, Inc. (Fresenius Medical Care Duquoin)
• Sarah Bjorling, MSW
• Erica Lee Blankenship, LPN BM
• Rachel Jane Bozarth, LCSW
• Natalie Brand, MHP
• Shakeela Brown
• Suzanne Burge, MD
• Mitchelle Calderon, PT

• Licensed Practical Nurse in Du Quoin, IL
• Providers in Du Quoin, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.