Individual provider Active NPI

Kayla Knopf Boykin, APRN, FNP-BC

  • Family Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1366923997
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22170 Issued in SC
Practice address
370 South Pike West
Sumter, SC 29150-2664
Phone
(803) 774-6448
Fax
(803) 774-8299
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22170 SC Primary

Addresses

Primary practice location

370 South Pike West
Sumter, SC 29150-2664

Mailing address

370 South Pike West
Sumter, SC 29150-2664
Phone (803) 774-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213002178 SC Practitioner - Nurse Practitioner 7214272699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tandem Health SCGroup PAC ID 3870575855, 32 clinicians

Practice addresses (Care Compare)

319 N Main St
Sumter, SC 29150-4258
Phone (803) 774-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Health SC Current Accepting new patients
Tandem Health SC CurrentSince Sep 18, 2018 Accepting new patients
Tandem Health SC CurrentSince Sep 18, 2018 Accepting new patients
Tandem Health SC Past Accepting new patients

Locations

319 N Main St
Sumter, SC 29150
Phone 8037744500 ext. 905

370 S Pike W
Sumter, SC 29150
Phone (803) 774-6448

550 S Pike W
Sumter, SC 29150

1278 N Layfayette St
Sumter, SC 29150

Interoperability endpoints

  • Direct secure messaging: kayla.boykin.1@13095.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1366923997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SOUTH PIKE WEST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SOUTH PIKE WEST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-6448",
            "fax_number": "803-774-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "KAYLA",
        "middle_name": "KNOPF",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.