Staci Boykin-Page

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 6312 Issued in FL

Practice address

125 N Ridgewood Ave FL 2
Daytona Beach, FL 32114-3276

Phone

(386) 873-0365

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Easterseals Northeast Central Florida, Inc.

  • Early Intervention Provider Agency
  • Daytona Beach, FL
  • NPI 1073283347
  NPD (past)
• Easterseals Northeast Central Florida, Inc.

  • Case Management Agency
  • Daytona Beach, FL
  • NPI 1780099523

  Early Intervention Provider Agency

  NPD (past)
• Pediatric Therapy of Ormond, LLC

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1568646008

  Speech-Language Pathologist

  NPD (past)
• Pediatric Therapy of Ormond, LLC

  • Early Intervention Provider Agency
  • Ormond Beach, FL
  • NPI 1679227508
  NPD (past)

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1669629606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MARINERS DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321762372",
            "telephone_number": "386-679-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N RIDGEWOOD AVE FL 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143276",
            "telephone_number": "386-873-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN-PAGE",
        "first_name": "STACI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SA6312",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Bowers, APRN- FNP
• Margarita Bowkus
• Maryann Bowles, P.T.
• Lesley Sondra Bowlus, ARNP
• Richard H Boye, MD
• Anna M. Boyle, M.ED. BSL
• Alireza Bozorgmanesh, M.D.
• Meaghan Edith Brach
• Justice M Brackney
• Nyyah Terrie Bradford-Malone

• Speech-Language Pathologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.