Active NPI
Jessica Henderson Boyd, MD
- Pediatrics Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D69298
- 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, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042863 | DC | MD | Pediatrics Physician |
| D69298 | MD | MD | Pediatrics Physician |
| 2003013131 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Health Care, Inc. | Current | Accepting new patients | |
| Unity Health Care Inc. | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Unity Health Care Inc. | Federally qualified health center | Corporate Director | Nov 18, 2019 |
| Unity Health Care Inc. | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jan 1, 2022 Jan 4, 2022 |
| Unity Health Care Inc. | Federally qualified health center | Corporate Officer | Nov 17, 2019 |
| Health Care for the Homeless Project Inc | Federally qualified health center | Corporate Officer | Nov 17, 2019 |
| Unity Health Care Inc. | Federally qualified health center | Corporate Officer | Jan 1, 2022 |
| Unity Health Care Inc. | Federally qualified health center | Corporate Officer | Nov 18, 2019 |
| Health Care for the Homeless Project Inc | Federally qualified health center | Corporate Officer | Nov 18, 2019 |
| Hope Has a Home 2 | 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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1467928671
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093915357
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1376662262
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1447445184
Corporate Officer, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1497302699
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1073976387
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1588411094
Corporate Officer
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1588411094
-
dba Unity Health Pharmacy
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.