Active NPI
Lisa Evelyn Boyd
- Occupational Therapy Assistant
- Somerset, KY
National Provider Identifier
1639376569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- KY-A2666
- Practice address
- 200 Norfleet Dr
Somerset, KY 42501-1952 - Phone
- (600) 678-5104
- Fax
- (606) 677-1925
- NPI assigned
- Jul 3, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | KY-A2666 | KY | Primary |
Addresses
Primary practice location
200 Norfleet Dr
Somerset, KY 42501-1952
Mailing address
465 East Langdon Road
Science Hill, KY 42553
Phone (606) 423-5464
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
| License | State | Type | Specialty |
|---|---|---|---|
| KY-A2666 | KY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639376569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 EAST LANGDON ROAD",
"city": "SCIENCE HILL",
"state": "KY",
"postal_code": "42553",
"telephone_number": "606-423-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NORFLEET DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425011952",
"telephone_number": "600-678-5104",
"fax_number": "606-677-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "LISA",
"middle_name": "EVELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "KY-A2666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.