Mark James Boyd, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN103666 Issued in OH

Practice address

104 Erin CT
Hillsboro, OH 45133-8591

Phone

(937) 393-4562

Fax

(937) 393-2056

NPI assigned

Feb 4, 2016

Sex

Male

Sole proprietor

Yes

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

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/frscounseling/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• FRS Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hillsboro, OH
  • NPI 1417917063
  NPD (past)
• FRS Counseling

  • Community/Behavioral Health Agency
  • Hillsboro, OH
  • NPI 1891055133
  NPD (past)

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1013375161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ERIN CT",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338591",
            "telephone_number": "937-393-4562",
            "fax_number": "937-393-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ERIN CT",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338591",
            "telephone_number": "937-393-4562",
            "fax_number": "937-393-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MARK",
        "middle_name": "JAMES",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN103666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anna Brady
• Sage Brandum, LSW
• Darlene Brown
• Stephanie Marie Brummett
• Brunacini, Ross & Associates DDS, Inc.

• Licensed Practical Nurse in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.