Active NPI
Gary Lee Boykin II
- Nurse's Aide
- Akron, OH
National Provider Identifier
1104213313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401716530115
- Practice address
- 1702 Dominion Dr Apt 4
Akron, OH 44313-5529 - Phone
- (330) 945-0053
- NPI assigned
- Apr 26, 2015
- Last updated
- Apr 26, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401716530115 | OH | Primary |
Addresses
Primary practice location
1702 Dominion Dr Apt 4
Akron, OH 44313-5529
Mailing address
1702 Dominion Dr Apt 4
Akron, OH 44313-5529
Phone (330) 945-0053
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
| License | State | Type | Specialty |
|---|---|---|---|
| 401716530115 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430006400000",
"number": "1104213313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 DOMINION DR APT 4",
"city": "AKRON",
"state": "OH",
"postal_code": "443135529",
"telephone_number": "330-945-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 DOMINION DR APT 4",
"city": "AKRON",
"state": "OH",
"postal_code": "443135529",
"telephone_number": "330-945-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKIN",
"first_name": "GARY",
"middle_name": "LEE",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-26",
"last_updated": "2015-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401716530115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.