Individual provider Active NPI

Heather Renee Boyd

  • Attendant Care Provider
  • Burleson, TX
National Provider Identifier
1730672064
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
011789 Issued in TX
Practice address
228 NE Wilshire Blvd Ste C
Burleson, TX 76028-4147
Phone
(817) 447-2717
Fax
(817) 447-2731
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 011789 TX
Attendant Care Provider 3747A0650X 011789 TX Primary

Addresses

Primary practice location

228 NE Wilshire Blvd Ste C
Burleson, TX 76028-4147

Mailing address

228 NE Wilshire Blvd Ste C
Burleson, TX 76028-4147
Phone (817) 447-2717

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

LicenseStateTypeSpecialty
011789TXMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Senior Care Servies CurrentSince Jun 26, 2022 Accepting new patients

Locations

228 NE Wilshire Blvd
Ste C
Burleson, TX 76028
Phone (817) 295-4400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1730672064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 NE WILSHIRE BLVD STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284147",
            "telephone_number": "817-447-2717",
            "fax_number": "817-447-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 NE WILSHIRE BLVD STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284147",
            "telephone_number": "817-447-2717",
            "fax_number": "817-447-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "011789",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TX",
            "license": "011789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.