Active NPI
Djoanna Marie Boyd, PA-C
- Physician Assistant
- Whiteman AFB, MO
National Provider Identifier
1326516964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 331 Sijan Ave
Whiteman AFB, MO 65305 - Phone
- (660) 687-6838
- NPI assigned
- Nov 12, 2018
- Last updated
- Jul 31, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Physician Assistant | 363A00000X | PA9115523 | FL |
Addresses
Primary practice location
331 Sijan Ave
Whiteman AFB, MO 65305
Mailing address
331 Sijan Ave
Whiteman AFB, MO 65305-1269
Phone (606) 687-6838
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 |
|---|---|---|---|
| PA9115523 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1326516964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 SIJAN AVE",
"city": "WHITEMAN AFB",
"state": "MO",
"postal_code": "653051269",
"telephone_number": "606-687-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 SIJAN AVE",
"city": "WHITEMAN AFB",
"state": "MO",
"postal_code": "65305",
"telephone_number": "660-687-6838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "DJOANNA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115523",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteman AFB, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.