Marissa M Boyd, MSN, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028240 Issued in CA

Practice address

1000 Nut Tree Rd
Vacaville, CA 95687-4100

Phone

(707) 624-7128

NPI assigned

May 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1750548608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874100",
            "telephone_number": "707-624-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874100",
            "telephone_number": "707-624-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18250 Mandarin St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956956012",
            "country_code": "US",
            "telephone_number": "916-284-2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MARISSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "707096",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "707096",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorann Lee Boulian, PH.D.
• Austin Bowen, LMFT, PPSC, BSP
• Kathryn Bowers, PT, DPT
• Jackie Carol Bowyer, PH.D.
• Heather Micheal Boyce, BASW
• Sheena Boyd, B.A., D.C
• Maiko Boyer
• Catherine Brabec
• Peter M. Bradlee, PH.D.
• Bradley J Sandler MD Inc (Solano Eye Specialists)

• Family Nurse Practitioner in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.