Individual provider Active NPI

Tielisia Ann Boyd

  • Home Health Aide
  • Tulsa, OK
National Provider Identifier
1437644788
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
37V881621299 Issued in OK
Practice address
8906 E Skelly Dr
Tulsa, OK 74129-3400
Phone
(918) 301-0210
Fax
(918) 217-1325
NPI assigned
Jun 28, 2018
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 37V881621299 OK Primary

Addresses

Primary practice location

8906 E Skelly Dr
Tulsa, OK 74129-3400

Mailing address

8906 E Skelly Dr
Tulsa, OK 74129-3400
Phone (918) 301-0210

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

LicenseStateTypeSpecialty
37V881621299OKMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Companion Care Services Current Accepting new patients
Essential Healthcare Services LLC Current Accepting new patients

Locations

8906 E Skelly Dr
Tulsa, OK 74129
Phone (918) 301-0210

Organizations & group practices 2

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1437644788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741293400",
            "telephone_number": "918-301-0210",
            "fax_number": "918-217-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741293400",
            "telephone_number": "918-301-0210",
            "fax_number": "918-217-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "TIELISIA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OK",
            "license": "37V881621299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.