Active NPI
Jerry Richard Boyd Jr., FP-C / NCP
- Specialist
- Lafayette, LA
National Provider Identifier
1710191101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2827687 (USCG LIC)
- Practice address
- 2916 N University Ave
Lafayette, LA 70507-4039 - Phone
- (337) 291-3379
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 707579 | TX | |
| Specialist | 174400000X | 2827687 (USCG LIC) | Primary | |
| Paramedic | 146L00000X | M0916413 (NATL REG) | ||
| Paramedic | 146L00000X | 0003545 (BCCTPC) | ||
| Independent Duty Corpsman | 1710I1002X |
Addresses
Primary practice location
2916 N University Ave
Lafayette, LA 70507-4039
Mailing address
2916 N University Ave
Lafayette, LA 70507-4039
Phone (337) 291-3379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 707579 | TX | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479600000000",
"number": "1710191101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 N UNIVERSITY AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705074039",
"telephone_number": "337-291-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 N UNIVERSITY AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705074039",
"telephone_number": "337-291-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JERRY",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "FP-C / NCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2016-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "TX",
"license": "707579",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": "2827687 (USCG LIC)",
"primary": true
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": "M0916413 (NATL REG)",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": "0003545 (BCCTPC)",
"primary": false
},
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.