Active NPI
Diane Klucinikas Boyd, MS FAAA
- Audiologist
- Derwood, MD
National Provider Identifier
1104093244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00233
- Practice address
- 18520 Azalea Drive
Derwood, MD 20855 - Phone
- (301) 758-2797
- NPI assigned
- May 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00233 | MD | Primary |
Addresses
Primary practice location
18520 Azalea Drive
Derwood, MD 20855
Mailing address
18520 Azalea Drive
Derwood, MD 20855
Phone (301) 758-2797
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00233 | MD | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1104093244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18520 AZALEA DRIVE",
"city": "DERWOOD",
"state": "MD",
"postal_code": "20855",
"telephone_number": "301-758-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18520 AZALEA DRIVE",
"city": "DERWOOD",
"state": "MD",
"postal_code": "20855",
"telephone_number": "301-758-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "DIANE",
"middle_name": "KLUCINIKAS",
"name_prefix": "Mrs.",
"credential": "MS FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "00233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derwood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.