Active NPI
Teranya Shaye Boykins, MS, CCC-SLP
- Speech-Language Pathologist
- Brandon, FL
National Provider Identifier
1487870549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA7686
- Practice address
- 602 Vonderburg Dr
Suite 201
Brandon, FL 33511-5900 - Phone
- (863) 617-9400
- Fax
- (863) 688-9858
- NPI assigned
- Apr 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA7686 | FL | Primary |
Addresses
Primary practice location
602 Vonderburg Dr
Suite 201
Brandon, FL 33511-5900
Mailing address
122 E Main St # 304
Lakeland, FL 33801-4655
Phone (863) 732-9955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109131600 | Medicaid | FL | |
| 891535100 | Medicaid | FL |
Other names 1
- Mrs. Teranya Shaye Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1849 N Crystal Lake Dr
Lakeland, FL 33801-5902
Phone (863) 732-9955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Caring Group- Caring, Uplifting, Serving, LLC | Current | Accepting new patients | |
| Virtually Speaking, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1849 N Crystal Lake Dr
Lakeland, FL 33801
Phone (863) 732-9955
5130 S Florida Ave
Ste 411
Lakeland, FL 33813
Phone (725) 300-0603
122 E Main St
#304
Lakeland, FL 33801
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Lakeland, FL
- NPI 1700488947
-
- In Home Supportive Care Agency
- Lakeland, FL
- NPI 1356950844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1487870549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E MAIN ST # 304",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014655",
"telephone_number": "863-732-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 VONDERBURG DR",
"address_2": "SUITE 201",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115900",
"telephone_number": "863-617-9400",
"fax_number": "863-688-9858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKINS",
"first_name": "TERANYA",
"middle_name": "SHAYE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA7686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109131600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891535100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERANYA",
"last_name": "JOHNSON",
"middle_name": "SHAYE",
"prefix": "MRS.",
"credential": "MS, CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.