Ieesha Boykins

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Practice address

23612 W Pecan Rd
Buckeye, AZ 85326-7234

Phone

(916) 668-0563

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

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

Practice roles

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

• House of Tranquility Group Home LLC

  • Community/Behavioral Health Agency
  • Buckeye, AZ
  • NPI 1831802388
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1013627355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 N 124TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924265",
            "telephone_number": "602-577-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23612 W PECAN RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267234",
            "telephone_number": "916-668-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKINS",
        "first_name": "IEESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Bishop, NP
• Kirstine A. Blackshear, PA-C
• Michaela Blea
• Body and Soul Sovereignty United (Bass United)
• Patricia Bonasera, NP
• BPDC PLLC (Marketside Chiropractic)
• Sara Brandal, APN
• Ashley Nicole Brezovsky
• Bridge Therapies LLC
• Bright Recovery Home LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.