Individual provider Active NPI

Geshe Kantrall Boyd

  • Psychiatric/Mental Health Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1770455834
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1213578 Issued in TX
Practice address
121 S Broadway Ave Ste 470
Tyler, TX 75702-7275
Phone
(888) 360-7587
Fax
(979) 446-0280
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0106356-C-NP CO
Nurse Practitioner 363L00000X 88205 NM
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 1213578 TX Primary

Addresses

Primary practice location

121 S Broadway Ave Ste 470
Tyler, TX 75702-7275

Mailing address

1511 Texas Ave S # 233
College Station, TX 77840-3328
Phone (888) 360-7587

Other practice location 1

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Phone (888) 360-7587

Other practice location 2

2175 Academy Cir Ste 8
Colorado Springs, CO 80909-1682
Phone (888) 360-7587

Other practice location 3

2911 Texas Ave S Ste 201
College Station, TX 77845-5388
Phone (888) 360-7587

Other identifiers 1

IdentifierTypeStateIssuer
N0049410MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260325001685 TX Practitioner - Nurse Practitioner 2860976099 Reassigns benefits to 1 organization
I20260420003309 NM Practitioner - Nurse Practitioner 2860976099 Reassigns benefits to 1 organization
I20260617003772 CO Practitioner - Nurse Practitioner 2860976099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1511 Texas Ave S
PMB 233
College Station, TX 77840-3303

1511 Texas Ave S
Suite 233
College Station, TX 77840-3328

9866 Red Hill Rd
Spotsylvania, VA 22553-3573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-APN.0106356-C-NPCOMDNurse Practitioner
88205NMMDNurse Practitioner
1213578TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Virtual Psychiatry PLLC Single Specialty CurrentSince Feb 14, 2026 Accepting new patients
Genacy Residential Assisted Living, PLLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

7535 E Hampden Ave
Ste 400
Denver, CO 80231
Phone (303) 229-6393

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

2911 Texas Ave S
Ste 201
College Station, TX 77845
Phone (888) 360-7587

121 S Broadway Ave
Ste 608
Tyler, TX 75702
Phone (888) 360-7587

Organizations & group practices 2

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1770455834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 TEXAS AVE S # 233",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403328",
            "telephone_number": "888-360-7587",
            "fax_number": "979-446-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S BROADWAY AVE STE 470",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027275",
            "telephone_number": "888-360-7587",
            "fax_number": "979-446-0280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Marquette Ave NW Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025312",
            "country_code": "US",
            "telephone_number": "888-360-7587",
            "fax_number": "979-446-0280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 Academy Cir Ste 8",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091682",
            "country_code": "US",
            "telephone_number": "888-360-7587",
            "fax_number": "979-446-0280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2911 Texas Ave S Ste 201",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778455388",
            "country_code": "US",
            "telephone_number": "888-360-7587",
            "fax_number": "979-446-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "GESHE",
        "middle_name": "KANTRALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0106356-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "88205",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1213578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0049410",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.