Active NPI
Theresa Maria Boyd, MD
- Blood Banking & Transfusion Medicine Physician
- Washington, DC
National Provider Identifier
1245460054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- 17394
- Practice address
- 2041 Georgia Ave NW
Dept of Pathology
Washington, DC 20060-0001 - Phone
- (202) 865-1353
- NPI assigned
- Jul 15, 2009
- Last updated
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 17394 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW
Dept of Pathology
Washington, DC 20060-0001
Mailing address
2041 Georgia Ave NW
Dept of Pathology
Washington, DC 20060-0001
Phone (202) 865-1353
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220016232 | Other | RAILROAD MEDICARE | |
| 76160013 | Other | DC | CAP CARE |
| 48610000 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17394 | DC | MD | Blood Banking & Transfusion Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1245460054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"address_2": "DEPT OF PATHOLOGY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"address_2": "DEPT OF PATHOLOGY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "THERESA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "DC",
"license": "17394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220016232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP CARE",
"identifier": "76160013",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48610000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.