Active NPI
Laurie Boyd, NP
- Nurse Practitioner
- Clinton, MI
National Provider Identifier
1356328124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 47042112837
- Practice address
- 1671 W Michigan Ave
Suite a
Clinton, MI 49236-8702 - Phone
- (517) 456-4171
- Fax
- (517) 456-4600
- NPI assigned
- Dec 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 47042112837 | MI | Primary |
Addresses
Primary practice location
1671 W Michigan Ave
Suite a
Clinton, MI 49236-8702
Mailing address
1671 W Michigan Ave
Suite a
Clinton, MI 49236-8702
Phone (517) 456-4171
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5008756650 | Other | MI | BCBS |
| 000000379335 | Other | MI | ANTHEM |
| 4794273 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Wayne State University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
142 E Maumee St
Suite 3
Adrian, MI 49221-2735
Phone (517) 263-5810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47042112837 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acpc PLLC | Current | Accepting new patients |
Locations
142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810
Interoperability endpoints
- adriancounselingandpsychiatricclinic.laurieboyd@153442.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physician Assistant
- Adrian, MI
- NPI 1831658483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1356328124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 W MICHIGAN AVE",
"address_2": "SUITE A",
"city": "CLINTON",
"state": "MI",
"postal_code": "492368702",
"telephone_number": "517-456-4171",
"fax_number": "517-456-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 W MICHIGAN AVE",
"address_2": "SUITE A",
"city": "CLINTON",
"state": "MI",
"postal_code": "492368702",
"telephone_number": "517-456-4171",
"fax_number": "517-456-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "LAURIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "47042112837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5008756650",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000379335",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4794273",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.