Individual provider Active NPI

Richard Boye, RD

  • Registered Dietitian
  • Cleveland, GA
National Provider Identifier
1467916684
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD005263 Issued in GA
Practice address
48 Waterfall Dr
Cleveland, GA 30528-4288
Phone
(770) 561-5804
NPI assigned
Jan 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD005263 GA Primary

Addresses

Primary practice location

48 Waterfall Dr
Cleveland, GA 30528-4288

Mailing address

48 Waterfall Dr
Cleveland, GA 30528-4288
Phone (770) 561-5804

Other names 1

  • Richard Boye Other name

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
LD005263GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1467916684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WATERFALL DR",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305284288",
            "telephone_number": "770-561-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 WATERFALL DR",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305284288",
            "telephone_number": "770-561-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYE",
        "first_name": "RICHARD",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "BOYE",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.