Individual provider Active NPI

Cedric Boyd Sr., RN, WCC

  • Registered Nurse
  • South Padre Island, TX
National Provider Identifier
1295007128
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
729752 Issued in TX
Practice address
224 Sunset Dr.
South Padre Island, TX 78597
Phone
(956) 299-1000
Fax
(956) 772-0100
NPI assigned
Feb 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 729752 TX Primary
Home Health Registered Nurse 163WH0200X 729752 TX
Infusion Therapy Registered Nurse 163WI0500X 729752 TX
Pediatric Registered Nurse 163WP0200X 729752 TX
Wound Care Registered Nurse 163WW0000X 729752 TX

Addresses

Primary practice location

224 Sunset Dr.
South Padre Island, TX 78597

Mailing address

PO Box 2623
South Padre Island, TX 78597-2623
Phone (956) 299-1000

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
729752TXMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1295007128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2623",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785972623",
            "telephone_number": "956-299-1000",
            "fax_number": "956-772-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SUNSET DR.",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "78597",
            "telephone_number": "956-299-1000",
            "fax_number": "956-772-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CEDRIC",
        "name_prefix": "Prof.",
        "name_suffix": "Sr.",
        "credential": "RN, WCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "729752",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "729752",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "TX",
            "license": "729752",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "729752",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "729752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Padre Island, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.