Individual provider Active NPI

Theresa P. Boyd, RN

  • Home Health Registered Nurse
  • Buffalo, NY
National Provider Identifier
1629350459
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
395676-1 Issued in NY
Practice address
360 Delaware Avenue
Suite 310
Buffalo, NY 14202-1620
Phone
(716) 852-5900
Fax
(716) 852-5913
NPI assigned
Sep 19, 2011
Last updated
Sep 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 395676-1 NY Primary

Addresses

Primary practice location

360 Delaware Avenue
Suite 310
Buffalo, NY 14202-1620

Mailing address

360 Delaware Avenue
Suite 310
Buffalo, NY 14202-1620
Phone (716) 852-5900

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
395676-1NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1629350459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 DELAWARE AVENUE",
            "address_2": "SUITE 310",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021620",
            "telephone_number": "716-852-5900",
            "fax_number": "716-852-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DELAWARE AVENUE",
            "address_2": "SUITE 310",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021620",
            "telephone_number": "716-852-5900",
            "fax_number": "716-852-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "THERESA",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "395676-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.