Amanda Kitchens Boyanton, N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R804323 Issued in MS

Practice address

971 Lakeland Dr Ste 353
Jackson, MS 39216

Phone

(601) 949-6990

Fax

(601) 949-6105

NPI assigned

May 5, 2006

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

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Diabetes Care PLLCGroup PAC ID 3577969138, 6 clinicians

Jackson Thyroid and Endocrine Clinic PLLCGroup PAC ID 4284902289, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDHABD/Endpoint/CDHABD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Diabetes Care, PLLC

  dba Southern Diabetes Care

  • Family Nurse Practitioner
  • Florence, MS
  • NPI 1578133278
  Medicare reassignment Care Compare group NPD
• Jackson Thyroid & Endocrine Clinic PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson, MS
  • NPI 1134671787
  Medicare reassignment Care Compare group
• University Orthopedic Associates, PLLC

  • Orthopaedic Surgery Physician
  • Jackson, MS
  • NPI 1477662211
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1053369355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 353",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164607",
            "telephone_number": "601-949-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 353",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-949-6990",
            "fax_number": "601-949-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYANTON",
        "first_name": "AMANDA",
        "middle_name": "KITCHENS",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R804323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Bowers, D.M.D.
• Christa Darlene Bowes, M.D.
• Leah Caroline Bowlin, MD
• Mary Helen Kate Bowman
• Leigh Box, LPC
• Jacqueline D Boyd-Drummond, FNP-C
• Ashton Boyd
• Heather Boyd, MS, LPC
• Kasey Michelle Boyd, LPTA
• Laurel Boyd

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.