Active NPI
Boonhee Floyd
- Community Health Registered Nurse
- Sumter, SC
National Provider Identifier
1306374327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 233786
- Practice address
- 105 N Magnolia St
Sumter, SC 29150 - Phone
- (803) 778-6548
- Fax
- (803) 934-2938
- NPI assigned
- Jun 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 233786 | SC | Primary |
Addresses
Primary practice location
105 N Magnolia St
Sumter, SC 29150
Mailing address
255 Blueberry Dr
Timmonsville, SC 29161-8623
Phone (843) 616-6529
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 |
|---|---|---|---|
| 233786 | SC | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496448000000",
"number": "1306374327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 BLUEBERRY DR",
"city": "TIMMONSVILLE",
"state": "SC",
"postal_code": "291618623",
"telephone_number": "843-616-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N MAGNOLIA ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-778-6548",
"fax_number": "803-934-2938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "BOONHEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-03",
"last_updated": "2017-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "233786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.