Individual provider Active NPI

Alicia Ray Bashkiharatee Boyd, CRNP

  • Nurse Practitioner
  • Madison, AL
National Provider Identifier
1831692664
Registry record updated Mar 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-114347 Issued in AL
Practice address
8375 Highway 72 W
Madison, AL 35758-9573
Phone
(256) 265-5001
NPI assigned
Mar 18, 2018
Last updated
Mar 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-114347 AL Primary

Addresses

Primary practice location

8375 Highway 72 W
Madison, AL 35758-9573

Mailing address

6941 Highway 72 W Apt 7110
Huntsville, AL 35806-2886
Phone (985) 628-2104

Other practice location 1

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-114347ALMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1831692664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 HIGHWAY 72 W APT 7110",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062886",
            "telephone_number": "985-628-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589573",
            "telephone_number": "256-265-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Sivley Rd SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014421",
            "country_code": "US",
            "telephone_number": "256-265-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ALICIA",
        "middle_name": "RAY BASHKIHARATEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-114347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.