Active NPI
Monica Jeanne Boyer, MHS, LAT, ATC
- Athletic Trainer
- Boydton, VA
National Provider Identifier
1467953000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002983
- Practice address
- 175 Mayfield Dr
Boydton, VA 23917-2817 - Phone
- (434) 447-7613
- NPI assigned
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-4228 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 0126002983 | VA | Primary |
Addresses
Primary practice location
175 Mayfield Dr
Boydton, VA 23917-2817
Mailing address
175 Mayfield Drive
PO Box 196
Baskerville, VA 23917
Phone (434) 738-6111
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-4228 | NC | MD | Athletic Trainer |
| 0126002983 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1467953000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MAYFIELD DRIVE",
"address_2": "PO BOX 196",
"city": "BASKERVILLE",
"state": "VA",
"postal_code": "23917",
"telephone_number": "434-738-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MAYFIELD DR",
"city": "BOYDTON",
"state": "VA",
"postal_code": "239172817",
"telephone_number": "434-447-7613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "MONICA",
"middle_name": "JEANNE",
"credential": "MHS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2023-11-07",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4228",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boydton, VA
- Boydton Community Health Facility Inc
- Boydton Community Health Facility, Inc
- Boydton Community Health Facility, Inc.
- Boydton Community Pharmacy
- Boydton Life Station Inc
- Elaine M Cole, LCSW
- William Joseph Coleman, PHARMD, MBA
- Commonwealth of Virginia State Board of Health
- Lina Sue Crowder, M.D.
- Amanda Davis, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.