Active NPI
Patricia Gail Boyd, AIDE
- Nurse's Aide
- Carthage, TN
National Provider Identifier
1265689103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 29926
- Practice address
- 112 Health Care Dr
Carthage, TN 37030-1168 - Phone
- (615) 735-0569
- Fax
- (615) 735-3110
- NPI assigned
- Aug 22, 2008
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 29926 | TN | Primary |
Addresses
Primary practice location
112 Health Care Dr
Carthage, TN 37030-1168
Mailing address
112 Health Care Dr
Carthage, TN 37030-1168
Phone (615) 735-0569
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 |
|---|---|---|---|
| 29926 | TN | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1265689103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HEALTH CARE DR",
"city": "CARTHAGE",
"state": "TN",
"postal_code": "370301168",
"telephone_number": "615-735-0569",
"fax_number": "615-735-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HEALTH CARE DR",
"city": "CARTHAGE",
"state": "TN",
"postal_code": "370301168",
"telephone_number": "615-735-0569",
"fax_number": "615-735-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "PATRICIA",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "AIDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TN",
"license": "29926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carthage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.