Kathryn Kellie Boyd, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

25601 Issued in TN

Practice address

350 Spring Hill Ter
Bristol, VA 24201-1893

Phone

(276) 496-4492

NPI assigned

Nov 4, 2019

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southwest Virginia Community Health Systems Incorporated

  • Federally Qualified Health Center (FQHC)
  • Saltville, VA
  • NPI 1811967169
  Medicare reassignment NPD
• Southwest Virginia Community Health Systems Inc

  dba Virginia Primary School

  • Federally Qualified Health Center (FQHC)
  • Bristol, VA
  • NPI 1326697053
  NPD
• Southwest Virginia Community Health Systems Inc.

  dba High Point Elementary School

  • Federally Qualified Health Center (FQHC)
  • Bristol, VA
  • NPI 1912720459
  NPD

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1447894308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "MEADOWVIEW",
            "state": "VA",
            "postal_code": "243610297",
            "telephone_number": "276-669-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPRING HILL TER",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242011893",
            "telephone_number": "276-496-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KATHRYN",
        "middle_name": "KELLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25601",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Brooke Boardwine
• Donna Elaine Boggs, LCSW
• Lisa Bourne, LPC
• Alexandra Marrs Bowling, DO
• Caleb Aaron Boyd, PT, DPT
• Tammy Ann Bralley, COTA/L
• Stephanie Branham, NP
• Ronald Woodrow Brill II, PH.D.
• Bristol Home Health Services, Inc.
• Bristol Laboratories, LLC

• Nurse Practitioner in Bristol, VA
• Providers in Bristol, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.