Jennifer Anne Boyd

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

JB57041298P Issued in IL

Practice address

Nia 1515 S. Meridian Rd.
Rockford, IL 61102

Phone

(815) 964-0937

Fax

(815) 964-2210

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801012992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 CHARTWELL CT",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145826",
            "telephone_number": "815-713-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIA 1515 S. MERIDIAN RD.",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61102",
            "telephone_number": "815-964-0937",
            "fax_number": "815-964-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "JB57041298P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah D Bowen, APN
• Andrea Dawn Bowmar, APN, CNP
• Casey Matthew Boyd, PT, DPT
• Gerald E Boyd, M.D.
• Jeffrey Boyd, AGPCNP
• Carli Boyer
• Allison M Bozovsky, LMFT
• BP Dental
• Jamie Lynn Brackemyer, M.S., CCC-SLP
• Lindsay Ann Brackney, MD

• Developmental Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.