Kirra Nikole Boyter

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11526 Issued in TX

Practice address

423 Driftwood CT
Forney, TX 75126-5165

Phone

(318) 393-1612

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care United Medical Centers of America, LLPGroup PAC ID 5496839508, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care United Medical Centers of America, LLP

  dba Care United Medical Center

  • Family Medicine Physician
  • Forney, TX
  • NPI 1457542680
  Medicare reassignment Care Compare group
• East Texas Medical Center Healthcare Associates

  dba First Physicians

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1124062484

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1659873198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 DRIFTWOOD CT",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265165",
            "telephone_number": "318-393-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 DRIFTWOOD CT",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265165",
            "telephone_number": "318-393-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYTER",
        "first_name": "KIRRA",
        "middle_name": "NIKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix Ojo Bosede
• Nicholas Roger Bosse, D.C.
• Micah Bowman-Spears, BCBA, LBA
• Annaelise Bowman
• Morgan Bowman
• Tionna Brand, LMSW
• Amber Brandel, SLPA
• Vergie M Brannon, GNP,DNP
• Michelle E. Bratcher, RDH, BS
• Jonathon Scott Brierley, MSAT, LAT, ATC

• Physician Assistant in Forney, TX
• Providers in Forney, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.