Active NPI
Qurisha Monique Boyd
- Emergency Medical Services (Emergency Medicine) Physician
- Waukesha, WI
National Provider Identifier
1225818339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 343900000
- Practice address
- 2411 Springdale Rd Apt 5B
Waukesha, WI 53186-2760 - Phone
- (262) 888-2305
- NPI assigned
- Oct 5, 2023
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 343900000 | WI | Primary |
Addresses
Primary practice location
2411 Springdale Rd Apt 5B
Waukesha, WI 53186-2760
Mailing address
2411 Springdale Rd Apt 5B
Waukesha, WI 53186-2760
Phone (262) 888-2305
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 |
|---|---|---|---|
| 343900000 | WI | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1225818339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 SPRINGDALE RD APT 5B",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862760",
"telephone_number": "262-888-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 SPRINGDALE RD APT 5B",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862760",
"telephone_number": "262-888-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "QURISHA",
"middle_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WI",
"license": "343900000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.