Nydisha Boyd, COSMETOLOGIST

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

29 S 60TH St
Philadelphia, PA 19139-3004

Phone

(215) 921-2410

NPI assigned

Nov 7, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Beauty Boutique Hair Salon

  • Customized Equipment (DME)
  • Philadelphia, PA
  • NPI 1861100638
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1710695028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 PIETRO WAY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191455541",
            "telephone_number": "267-253-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393004",
            "telephone_number": "215-921-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "NYDISHA",
        "credential": "COSMETOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Boyd, DO
• Karla Rachel Boyd
• Mackenzie O'Brien Boyd, PA-C
• Malik Boyd
• Martin Boyd Jr.
• Omar Boyd, MHS
• Rasheeda Irene Boyd
• Rhonda C Boyd, PH.D.
• Rhonda Elaine Boyd, LPC
• Riley Tucker Boyd, LSW

• Prosthetist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Prosthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.