Stephanie Boykin

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

8395082 Issued in NC

Practice address

1776 Heritage Center Dr Ste 204
Wake Forest, NC 27587-3977

Phone

(919) 559-3021

NPI assigned

Mar 5, 2024

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

State licenses

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1043077126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 HERITAGE CENTER DR STE 204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873977",
            "telephone_number": "919-559-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 HERITAGE CENTER DR STE 204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873977",
            "telephone_number": "919-559-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "8395082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Elaine Bourdon, P.T.
• Nicole Bertolino Bourne, OTR/L
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• Robley Kivette Bowman II, MA LPA
• Lydia Elaine Boyd Campbell, MD, MPH
• Heather Braddock Acevedo, M.D.
• Suzanne Marie Brady, LCSW
• Kiaya Alise Branch, LCSWA
• Barbara A Brandes, MD
• Lisa Braswell

• Non-emergency Medical Transport (VAN) in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.