Nichelle Betard-Boyd, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

338519 Issued in NY

Practice address

23 Brittany CT
Northport, NY 11768-3225

Phone

(631) 633-4520

NPI assigned

Jun 29, 2020

Last updated

Jun 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nichelle Betard-Boyd Professional name

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1043837768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 LINCOLN BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062830",
            "telephone_number": "631-633-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRITTANY CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683225",
            "telephone_number": "631-633-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETARD-BOYD",
        "first_name": "NICHELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "338519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHELLE",
            "last_name": "BETARD-BOYD",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Atman Bengeloun, MD
• Jaroslaw Bernas, MD
• Layna Elizabeth Berta, M.A., CF-SLP, TSSLD
• Martha Berti, SLP
• Matthew Brabin Bessell, LCSW
• Sheewani Bhugwansing, OD
• Erika Marie Bicic
• Kristen Billig, LCSW
• Bryan Bischof, MS, RD, CDN
• Amanda Marie Bitetto

• Licensed Practical Nurse in Northport, NY
• Providers in Northport, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.