Active NPI
Shawana Boyer
- Contractor
- Jacksonville, FL
National Provider Identifier
1134838105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4931 Donnybrook Ave
Jacksonville, FL 32208-7603 - Phone
- (904) 330-4114
- NPI assigned
- Nov 18, 2022
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
4931 Donnybrook Ave
Jacksonville, FL 32208-7603
Mailing address
8654 Tristan Dr
Jacksonville, FL 32210-9634
Phone (904) 330-4114
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mrssboyer18@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1134838105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8654 TRISTAN DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322109634",
"telephone_number": "904-330-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4931 DONNYBROOK AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322087603",
"telephone_number": "904-330-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "SHAWANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mrssboyer18@gmail.com",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "4931 Donnybrook Ave",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322087603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.