Active NPI
Patrice Boykin
- Licensed Practical Nurse
- Mooresville, NC
National Provider Identifier
1730037821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 84711
- Practice address
- 128 E Plaza Dr
Mooresville, NC 28115-8000 - Phone
- (980) 431-4400
- Fax
- (704) 702-0022
- NPI assigned
- Mar 17, 2026
- Last updated
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 84711 | NC | Primary |
Addresses
Primary practice location
128 E Plaza Dr
Mooresville, NC 28115-8000
Mailing address
128 E Plaza Dr
Mooresville, NC 28115-8000
Phone (980) 431-4400
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 |
|---|---|---|---|
| 84711 | NC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1730037821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E PLAZA DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281158000",
"telephone_number": "980-431-4400",
"fax_number": "704-702-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E PLAZA DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281158000",
"telephone_number": "980-431-4400",
"fax_number": "704-702-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKIN",
"first_name": "PATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "84711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.