Active NPI
Nikki Dee Boydston, LMLP
- Clinical Psychologist
- Hiawatha, KS
National Provider Identifier
1104954023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 974
- Practice address
- 909 S 2ND St
Hiawatha, KS 66434-2774 - Phone
- (785) 742-7113
- NPI assigned
- Mar 1, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 974 | KS | Primary |
Addresses
Primary practice location
909 S 2ND St
Hiawatha, KS 66434-2774
Mailing address
3712 SW 29TH St
Apt 532
Topeka, KS 66614-2157
Phone (785) 224-8871
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 |
|---|---|---|---|
| 974 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104954023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 SW 29TH ST",
"address_2": "APT 532",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666142157",
"telephone_number": "785-224-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S 2ND ST",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342774",
"telephone_number": "785-742-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYDSTON",
"first_name": "NIKKI",
"middle_name": "DEE",
"credential": "LMLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.