Individual provider Active NPI

Aliyah Williams-Boynton

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1477320638
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014896A Issued in IN
Practice address
200 N Lasalle St
Suite 1550
Chicago, IL 60601
Phone
(888) 660-4425
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hemodialysis Registered Nurse 163WH0500X 28247299A IN
Nurse Practitioner 363L00000X 71014896A IN Primary

Addresses

Primary practice location

200 N Lasalle St
Suite 1550
Chicago, IL 60601

Mailing address

200 N Lasalle St
Suite 1550
Chicago, IL 60601
Phone (888) 660-4425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20231222002800 IN Practitioner - Nurse Practitioner 7315397866 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1317 N State St
Greenfield, IN 46140-1026
Phone (317) 967-2167

3536 Promenade Pkwy
Lafayette, IN 47909-8377
Phone (765) 231-2956

4152 W State Rd
Suite 56
Hanover, IN 47243-9070
Phone (901) 351-1791

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014896AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Midwest Post Acute Care PLLC Nurse Practitioner CurrentSince Dec 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 5, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 5, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 15, 2025 Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

701 Armory Rd
Delphi, IN 46923
Phone (765) 447-4102

1159 W Jefferson St
Ste 204
Franklin, IN 46131

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

2201 Cason St
Lafayette, IN 47904
Phone (765) 447-4102

1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600

4100 N Morrison Rd
Muncie, IN 47304
Phone (765) 212-3162

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1477320638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LASALLE ST",
            "address_2": "SUITE 1550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "888-660-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LASALLE ST",
            "address_2": "SUITE 1550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "888-660-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-BOYNTON",
        "first_name": "ALIYAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "IN",
            "license": "28247299A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014896A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.