Darrell Fredrick Boarden, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

RCP-1922 Issued in MS

Practice address

5903 Ridgewood Rd
Jackson, MS 39211-3700

Phone

(601) 899-3180

NPI assigned

Dec 1, 2021

Sex

Male

Sole proprietor

Yes

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

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1699433193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SPRING CREEK CV",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575177",
            "telephone_number": "601-506-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 RIDGEWOOD RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113700",
            "telephone_number": "601-899-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDEN",
        "first_name": "DARRELL",
        "middle_name": "FREDRICK",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "MS",
            "license": "RCP-1922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Blue, CFNP
• Bernard Irving Blumenthal, M.D.
• Kregg S Bly, O.D
• Corliann Blyn, DO
• James Blythe, M.D.
• Hans-Georg Otto Bock, M.D.
• Jackie Boddy
• Body in Balance Healthcare
• Ryland Boehnke, DO
• James Bofill, M.D.

• All providers in Jackson, MS
• Registered Respiratory Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.