Active NPI
Nicholas Boyd
- Case Manager/Care Coordinator
- Stanton, MI
National Provider Identifier
1023743457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 611 N State St
Stanton, MI 48888-9702 - Phone
- (989) 831-7520
- NPI assigned
- Jul 20, 2022
- Last updated
- Mar 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | OH | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
611 N State St
Stanton, MI 48888-9702
Mailing address
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Other practice location 1
734 Dayton St
Hamilton, OH 45011-3460
Phone (513) 737-0400
Other practice location 2
525 Metro Pl N Ste 300
Dublin, OH 43017-5320
Phone (855) 289-1722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1023743457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N STATE ST",
"city": "STANTON",
"state": "MI",
"postal_code": "488889702",
"telephone_number": "989-831-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N STATE ST",
"city": "STANTON",
"state": "MI",
"postal_code": "488889702",
"telephone_number": "989-831-7520"
}
],
"practiceLocations": [
{
"address_1": "734 Dayton St",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450113460",
"country_code": "US",
"telephone_number": "513-737-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 Metro Pl N Ste 300",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430175320",
"country_code": "US",
"telephone_number": "855-289-1722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-20",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stanton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.