Individual provider Active NPI

Krista Leanne Boyd, MA, MARRIAGE FAMILY

  • Counselor
  • Santa Rosa, CA
National Provider Identifier
1669603551
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMF 57195 Issued in CA
Practice address
3440 Airway Dr Ste E
Santa Rosa, CA 95403-2065
Phone
(707) 544-3299
Fax
(707) 544-6837
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMF 57195 CA Primary

Addresses

Primary practice location

3440 Airway Dr Ste E
Santa Rosa, CA 95403-2065

Mailing address

3440 Airway Dr Ste E
Santa Rosa, CA 95403-2065
Phone (707) 544-3299

Other names 1

  • Ms. Krista Leanne Cooper Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
IMF 57195CAMDCounselor

Interoperability endpoints

  • Direct secure messaging: krista.boyd@cernerdirect.coxhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1669603551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 AIRWAY DR STE E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032065",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 AIRWAY DR STE E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032065",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KRISTA",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "MA, MARRIAGE FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "IMF 57195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "COOPER",
            "middle_name": "LEANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.