Individual provider Active NPI

India Chantel Presley-Boyd, APRN

  • Gerontology Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1376003574
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9410310 Issued in FL
Practice address
400 Celebration PL Ste A290
Celebration, FL 34747-4970
Phone
(407) 303-3827
Fax
(407) 303-3828
NPI assigned
Mar 22, 2019
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9410310 FL Primary

Addresses

Primary practice location

400 Celebration PL Ste A290
Celebration, FL 34747-4970

Mailing address

400 Celebration PL Ste A290
Celebration, FL 34747-4970
Phone (407) 303-3827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9410310FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wanderlust Experience Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 19, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 19, 2019 Accepting new patients
Joint Regeneration and Rehabilitation Center LLC CurrentSince Dec 23, 2020 Accepting new patients

Locations

400 Celebration Pl
Ste A290
Kissimmee, FL 34747
Phone (407) 303-3827

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

9685 Lake Nona Village Pl
Ste 205
Orlando, FL 32827
Phone (407) 627-1148

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1376003574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL STE A290",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "407-303-3827",
            "fax_number": "407-303-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL STE A290",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "407-303-3827",
            "fax_number": "407-303-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY-BOYD",
        "first_name": "INDIA",
        "middle_name": "CHANTEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9410310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.