Individual provider Active NPI

Richardo Ramon Boyd, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1497095798
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9241292 Issued in FL
Practice address
3060 Loopdale LN
Kissimmee, FL 34741-7659
Phone
(407) 775-2121
Fax
(888) 272-4324
NPI assigned
Feb 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9241292 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9241292 FL Primary

Addresses

Primary practice location

3060 Loopdale LN
Kissimmee, FL 34741-7659

Mailing address

11200 SW 8TH St
Miami, FL 33199-2516

Other practice location 1

11200 SW 8th St
Miami, FL 33199-2516
Phone (305) 348-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131025001665 FL Practitioner - Nurse Practitioner 1759516867 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9241292FLMDFamily Nurse Practitioner
APRN9241292FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Lake Substance Abuse Solutions LLC Psychiatric/Mental Health CurrentSince May 25, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 15, 2022 Accepting new patients
Adventist Health System Sunbelt, Inc Family CurrentSince Oct 23, 2017 Accepting new patients
Mava Healthcare Systems LLC CurrentSince Aug 1, 2022 Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Oct 23, 2017 Accepting new patients
Harmony Psychiatric Services LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3060 Loopdale Ln
Kissimmee, FL 34741
Phone (407) 775-2121

2971 Park Pond Way
Kissimmee, FL 34741
Phone (407) 775-2121

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

6900 Tavistock Lakes Blvd
Ste 400
Orlando, FL 32827
Phone (407) 967-0446

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

225 W Canton Ave
Ste 600
Winter Park, FL 32789
Phone (407) 347-4536

Organizations & group practices 7

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": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1497095798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 LOOPDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417659",
            "telephone_number": "407-775-2121",
            "fax_number": "888-272-4324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11200 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331992516",
            "country_code": "US",
            "telephone_number": "305-348-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "RICHARDO",
        "middle_name": "RAMON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9241292",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9241292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.