Individual provider Active NPI

Christopher Boyd

  • Peer Specialist
  • Shreveport, LA
National Provider Identifier
1063252807
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
OBHPSS1116 Issued in LA
Practice address
527 Crockett St
Shreveport, LA 71101-3601
Phone
(318) 780-5018
NPI assigned
May 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Peer Specialist 175T00000X OBHPSS1116 LA Primary

Addresses

Primary practice location

527 Crockett St
Shreveport, LA 71101-3601

Mailing address

2000 Fairfield Ave
Shreveport, LA 71104-2002
Phone (318) 222-8511

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

State licenses

LicenseStateTypeSpecialty
OBHPSS1116LAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Council on Alcoholism and Drug Abuse of Northwest Louisiana CurrentSince Jul 21, 2024 Accepting new patients
Council on Alcoholism and Drug Abuse of Northwest Louisiana PastSince Jun 2, 2024 Accepting new patients

Locations

527 Crockett St
Shreveport, LA 71101
Phone (318) 222-8511

2000 Fairfield Ave
Shreveport, LA 71104
Phone (318) 222-8511

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1063252807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042002",
            "telephone_number": "318-222-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 CROCKETT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013601",
            "telephone_number": "318-780-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "LA",
            "license": "OBHPSS1116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.