Individual provider Active NPI

Nicholius De'Aunte Vincent Boyd

  • Transportation Broker
  • Shaker Heights, OH
National Provider Identifier
1497608202
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
License
TG917291 Issued in OH
Practice address
3601 Lee Rd
Shaker Heights, OH 44120-5108
Phone
(216) 716-8696
Fax
(216) 472-8565
NPI assigned
Feb 19, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X TG917291 OH Primary

Addresses

Primary practice location

3601 Lee Rd
Shaker Heights, OH 44120-5108

Mailing address

10545 Remington Ave
Cleveland, OH 44108-1320
Phone (216) 716-8696

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
TG917291OHMDTransportation Broker

Practice roles

OrganizationSpecialtyStatusNew patients
Pharaoh'S Transport LLC Transportation Broker Current Accepting new patients

Locations

3601 Lee Rd
Shaker Hts, OH 44120
Phone (216) 716-8696

Organizations & group practices 1

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": "1771459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1497608202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 REMINGTON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081320",
            "telephone_number": "216-716-8696",
            "fax_number": "216-472-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205108",
            "telephone_number": "216-716-8696",
            "fax_number": "216-472-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "NICHOLIUS",
        "middle_name": "DE'AUNTE VINCENT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "OH",
            "license": "TG917291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.