Individual provider Active NPI

Melissa Anne Boydstun

  • Community Health Worker
  • Durant, OK
National Provider Identifier
1043125685
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1524 Chuckwa Dr
Durant, OK 74701-2142
Phone
(580) 924-4285
NPI assigned
Aug 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1524 Chuckwa Dr
Durant, OK 74701-2142

Mailing address

1524 Chuckwa Dr
Durant, OK 74701-2142
Phone (580) 924-4285

Other practice location 1

932 W 13th St
Atoka, OK 74525-3425
Phone (580) 889-2116

Other practice location 2

1404 S Broadway St
Coalgate, OK 74538-2619
Phone (580) 927-2367

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": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1043125685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 CHUCKWA DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012142",
            "telephone_number": "580-924-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 CHUCKWA DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012142",
            "telephone_number": "580-924-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 W 13th St",
            "address_purpose": "LOCATION",
            "city": "Atoka",
            "state": "OK",
            "postal_code": "745253425",
            "country_code": "US",
            "telephone_number": "580-889-2116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1404 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Coalgate",
            "state": "OK",
            "postal_code": "745382619",
            "country_code": "US",
            "telephone_number": "580-927-2367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYDSTUN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.