Stacey Boyd, LPN
Individual provider Active NPI Licensed Practical Nurse · Rapid City, SD
NPI 1154092740 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1154092740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- P009033 (SD)
- Practice address
- 3200 Canyon Lake Dr
Rapid City, SD 57702-8114 - Phone
- (605) 355-2500
- Fax
- (605) 355-2512
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P009033 | SD | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P009033 | SD | Yes |
Addresses
Primary practice location
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Mailing address
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone (605) 355-2500
Other providers in Rapid City, SD
- Brian Paul Bowers
- Kristen A Bowers
- Melissa M Bowers
- James D Bowman
- Jennifer Ann Boyd
- Tiara Jean Boyer
- Diana Boyle
- Kathleen A Boyle
- Brad Moriarty OD PC
- Brent J. Bradley
All providers in Rapid City, SD · Licensed Practical Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.