Individual provider Active NPI

David-Michael Boykin, SLP-CCC

  • Speech-Language Pathologist
  • Floyd, VA
National Provider Identifier
1194227512
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2203000698 Issued in VA
Practice address
140 Harris Hart Rd
Floyd, VA 24091-2184
Phone
(540) 745-9430
Fax
(540) 745-9493
NPI assigned
Mar 1, 2018
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
2203000698VAMDSpeech-Language Pathologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2203000698 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

140 Harris Hart Rd
Floyd, VA 24091-2184

Mailing address

140 Harris Hart Rd
Floyd, VA 24091-2184
Phone (540) 745-9430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2018.

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1194227512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HARRIS HART RD",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240912184",
            "telephone_number": "540-745-9430",
            "fax_number": "540-745-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HARRIS HART RD",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240912184",
            "telephone_number": "540-745-9430",
            "fax_number": "540-745-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "DAVID-MICHAEL",
        "name_prefix": "Mr.",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floyd, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.