Avon D Boddin, SPECIAL EDUCATION

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

693099121 Issued in NY

Practice address

88-48 78 Street
Woodhaven, NY 11421

Phone

(718) 296-8810

NPI assigned

May 3, 2013

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

Other names 1

• Ms. Avon D Boddin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1669817698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 78TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212310",
            "telephone_number": "718-296-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88-48 78 STREET",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-296-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDIN",
        "first_name": "AVON",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "SPECIAL EDUCATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NY",
            "license": "693099121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVON",
            "last_name": "BODDIN",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "SPECIAL EDUCATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Educator in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.