Active NPI
Carrie Lynn Boyd, MA
- Audiologist
- Hanover, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006905
- Practice address
- 250 Fame Ave Ste 201
Hanover, PA 17331-1587 - Phone
- (717) 633-9229
- Fax
- (717) 633-5552
- NPI assigned
- Dec 23, 2005
- Last updated
- Feb 10, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A01261 | OH | |
| Audiologist | 231H00000X | |||
| Audiologist | 231H00000X | AT006905 | PA | Primary |
Addresses
Primary practice location
250 Fame Ave Ste 201
Hanover, PA 17331-1587
Mailing address
250 Fame Ave Ste 201
Hanover, PA 17331-1587
Other practice location 1
755 Boardman Canfield Rd.
South Bridge West C1
Boardman, OH 44512
Phone (330) 726-8155
Other practice location 2
508 S Washington St
Gettysburg, PA 17325-2594
Phone (717) 334-8171
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4500058 | Other | UHC | |
| 000000182364 | Other | ANTHEM | |
| 341112079 | Other | NECP | |
| 341112079 | Other | AETNA | |
| 341112079 | Other | HEALTH ASSURANCE | |
| 2591600 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Fame Ave
Suite 201
Hanover, PA 17331-1587
Phone (717) 633-9229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006905 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Triad Health Services, LLC | Past | Accepting new patients |
Locations
508 S Washington St
Gettysburg, PA 17325
Phone (717) 334-8171
250 Fame Ave
Ste 201
Hanover, PA 17331
Phone (717) 633-9086
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1295552073
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1811974504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 FAME AVE STE 201",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FAME AVE STE 201",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311587",
"telephone_number": "717-633-9229",
"fax_number": "717-633-5552"
}
],
"practiceLocations": [
{
"address_1": "755 Boardman Canfield Rd.",
"address_2": "South Bridge West C1",
"address_purpose": "LOCATION",
"city": "Boardman",
"state": "OH",
"postal_code": "44512",
"country_code": "US",
"telephone_number": "330-726-8155",
"fax_number": "330-629-2140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "508 S Washington St",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252594",
"country_code": "US",
"telephone_number": "717-334-8171",
"fax_number": "717-334-8172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "CARRIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01261",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "4500058",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000182364",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NECP",
"identifier": "341112079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "341112079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "341112079",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2591600",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.