Individual provider Active NPI

Carrie Lynn Boyd, MA

  • Audiologist
  • Hanover, PA
National Provider Identifier
1811974504
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006905 Issued in PA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4500058OtherUHC
000000182364OtherANTHEM
341112079OtherNECP
341112079OtherAETNA
341112079OtherHEALTH ASSURANCE
2591600MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823003258 PA Practitioner - Qualified Audiologist 0446316947 Reassigns benefits to 1 organization

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
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

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

LicenseStateTypeSpecialty
AT006905PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Apr 22, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 22, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Triad Health Services, LLC PastSince Apr 1, 2022 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.

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.

Verify at the official NPI Registry.