Katrina Boyd, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006909A Issued in IN

Practice address

2750 N Burkhardt Rd
Evansville, IN 47715-1685

Phone

(812) 773-8737

Fax

(812) 901-6168

NPI assigned

Dec 2, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mbh.katrinaboyd@140099.advancedmd-direct.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1245773647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CRESCENDO CT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477258027",
            "telephone_number": "812-480-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N BURKHARDT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151685",
            "telephone_number": "812-773-8737",
            "fax_number": "812-901-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KATRINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006909A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34006909A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey E Bowlds, LSW
• Meagan E Bowling
• Amy Bowman, PHARMD
• Amy Boyd, OTR
• Candace Boyd, MD
• Michael B Boyd, D.O.
• Matthew M Boyer, MD
• Addison McKinley Boyle
• Christopher W Brackett, OD
• Eric Brackett, MD

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.