Active NPI
Vincent Boyd, ATP
- Assistive Technology Supplier Rehabilitation Counselor
- Lubbock, TX
National Provider Identifier
1134939614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Rehabilitation Counselor
- License
- 93735
- Practice address
- 12402 Slide Rd Ste 408
Lubbock, TX 79424-8322 - Phone
- (806) 589-0817
- NPI assigned
- Jan 8, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Assistive Technology Supplier Rehabilitation Counselor | 225CA2500X | 93735 | OK | Primary |
Addresses
Primary practice location
12402 Slide Rd Ste 408
Lubbock, TX 79424-8322
Mailing address
12402 Slide Rd Ste 408
Lubbock, TX 79424-8322
Phone (806) 589-0817
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 |
|---|---|---|---|
| 93735 | OK | MD | Assistive Technology Supplier Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1134939614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12402 SLIDE RD STE 408",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794248322",
"telephone_number": "806-589-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12402 SLIDE RD STE 408",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794248322",
"telephone_number": "806-589-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "VINCENT",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2500X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Supplier",
"state": "OK",
"license": "93735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.