Individual provider Active NPI

Debrisha Sharlett Boykins

  • Prosthetics Case Management
  • Oklahoma City, OK
National Provider Identifier
1255979514
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
101 Park Ave Ste 1300
Oklahoma City, OK 73102-7216
Phone
(405) 252-1210
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

101 Park Ave Ste 1300
Oklahoma City, OK 73102-7216

Mailing address

101 Park Ave Ste 1300
Oklahoma City, OK 73102-7216
Phone (405) 252-1210

Other identifiers 1

IdentifierTypeStateIssuer
1744P3200XMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ALAYDESTYLES.COM

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

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1255979514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARK AVE STE 1300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731027216",
            "telephone_number": "405-252-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARK AVE STE 1300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731027216",
            "telephone_number": "405-252-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKINS",
        "first_name": "DEBRISHA",
        "middle_name": "SHARLETT",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744P3200X",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ALAYDESTYLES.COM",
            "affiliation": "N",
            "address_1": "101 Park Ave Ste 1300",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731027216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.