Individual provider Active NPI

Jessica Henderson Boyd, MD

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1285809640
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D69298 Issued in MD
Practice address
1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone
(202) 469-4699
NPI assigned
Apr 28, 2008
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD042863 DC
Pediatrics Physician 208000000X 2003013131 MO
Pediatrics Physician 208000000X D69298 MD Primary
Pediatric Pulmonology Physician 2080P0214X 2003013131 MO

Addresses

Primary practice location

1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326

Mailing address

1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326

Other names 1

  • Jessica Nicole Henderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615000532 DC Practitioner - Pediatric Medicine 6507910064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD042863DCMDPediatrics Physician
D69298MDMDPediatrics Physician
2003013131MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Jun 9, 2020 Accepting new patients
Unity Health Care Inc. CurrentSince Jun 9, 2020 Accepting new patients

Locations

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unity Health Care Inc.Washington, DC, CCN 091802 Federally qualified health center Corporate Director Nov 18, 2019
Unity Health Care Inc.Washington, DC, CCN 091804 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jan 1, 2022
Jan 4, 2022
Unity Health Care Inc.Washington, DC, CCN 091835 Federally qualified health center Corporate Officer Nov 17, 2019
Health Care for the Homeless Project IncWashington, DC, CCN 091855 Federally qualified health center Corporate Officer Nov 17, 2019
Unity Health Care Inc.Washington, DC, CCN 091859 Federally qualified health center Corporate Officer Jan 1, 2022
Unity Health Care Inc.Washington, DC, CCN 091861 Federally qualified health center Corporate Officer Nov 18, 2019
Health Care for the Homeless Project IncWashington, DC, CCN 091862 Federally qualified health center Corporate Officer Nov 18, 2019
Hope Has a Home 2Washington, DC, CCN 091000 Federally qualified health center Corporate Officer Nov 17, 2019

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1285809640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NEW JERSEY AVE SE STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEW JERSEY AVE SE STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033326",
            "telephone_number": "202-469-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JESSICA",
        "middle_name": "HENDERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD042863",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2003013131",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D69298",
            "primary": true
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "MO",
            "license": "2003013131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HENDERSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.