Rebecca Lou Boyd, FNP-C
Individual provider Active NPI Family Nurse Practitioner · White Pine, TN
NPI 1043785314 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1043785314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 24286 (TN)
- Practice address
- 1403 State St
White Pine, TN 37890-3175 - Phone
- (865) 674-6603
- NPI assigned
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthstar Physicians PC
Champion Physical Therapy LLC Halls
Practice addresses (Care Compare)
1403 State St
White Pine, TN 37890-3175
Phone (865) 674-6603
3106 Circle Dr
White Pine, TN 37890-3306
Phone (865) 674-7454
Hospital & facility affiliations
- Amedisys Home Health Care
- Tennova Healthcare - Newport Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190212000814 | TN | Practitioner - Nurse Practitioner | 6406194778 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24286 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthstar Physicians PC | Current |
Accepting new patients | |
| Healthstar Physicians, P.C. | Current |
Accepting new patients | |
| Precision Health Care, Inc | Past | Accepting new patients | |
| East Tennessee Primary Care Associates | Past | Accepting new patients |
Locations
657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717
420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443
420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617
1403 State St
White Pine, TN 37890
Phone (423) 674-6603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24286 | TN | Yes |
Addresses
Primary practice location
1403 State St
White Pine, TN 37890-3175
Mailing address
1403 State St
White Pine, TN 37890-3175
Phone (865) 674-6603
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca.boyd.1@3525.direct.athenahealth.com | Direct |
Other providers in White Pine, TN
- 4TH Judicial District Recovery Services, Inc
- Angel Dawn Atkins
- Melanie Sieglinda Beers
- Behavioral Advising & Consulting
- Robert John Braidwood
- Anna Marie Calfee
- Champion Physical Therapy LLC Halls
- Paul Jason Chaney
- Rachael Nicole Chastain
All providers in White Pine, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.