Active NPI
Yusuf Boyd, M.S., ATC, LAT, CKTP
- Athletic Trainer
- Charlotte, NC
National Provider Identifier
1558338384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT 0000000903
- Practice address
- 8912 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6734 - Phone
- (704) 490-4278
- Fax
- (901) 620-6127
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT 0000000903 | TN | Primary |
| Athletic Trainer | 2255A2300X | 2192 | NC |
Addresses
Primary practice location
8912 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6734
Mailing address
8912 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6734
Phone (704) 490-4278
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 0000000903 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1558338384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8912 BLAKENEY PROFESSIONAL DR",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776734",
"telephone_number": "704-490-4278",
"fax_number": "901-620-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8912 BLAKENEY PROFESSIONAL DR",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776734",
"telephone_number": "704-490-4278",
"fax_number": "901-620-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "YUSUF",
"name_prefix": "Mr.",
"credential": "M.S., ATC, LAT, CKTP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "AT 0000000903",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2192",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.