Active NPI
Candice Sherrell Roman- Boyd, CPNP-PC
- Nurse Practitioner
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11021051
- Practice address
- 9611 W Broward Blvd
Plantation, FL 33324-2334 - Phone
- (954) 924-7000
- NPI assigned
- Apr 19, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 820821 | TX | |
| Nurse Practitioner | 363L00000X | APRN11021051 | FL | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | AP06770 | LA | |
| Pediatric Nurse Practitioner | 363LP0200X | AP122007 | TX |
Addresses
Primary practice location
9611 W Broward Blvd
Plantation, FL 33324-2334
Mailing address
PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5076
Other practice location 1
500 Tidwell Rd
Houston, TX 77022-2122
Phone (832) 548-5000
Other practice location 2
8575 Pitner Rd
Houston, TX 77080-2010
Phone (713) 462-6565
Other practice location 3
4972 Town Center Pkwy Unit 301
Jacksonville, FL 32246-8596
Phone (904) 642-6100
Other practice location 4
11260 Sullivan St
Riverview, FL 33578-2140
Phone (813) 689-7571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080462703 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | URL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 820821 | TX | MD | Registered Nurse |
| APRN11021051 | FL | MD | Nurse Practitioner |
| AP06770 | LA | MD | Pediatric Nurse Practitioner |
| AP122007 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Dallas, TX
- NPI 1730337163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1841557550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772666308",
"telephone_number": "832-548-5076",
"fax_number": "713-523-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9611 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242334",
"telephone_number": "954-924-7000"
}
],
"practiceLocations": [
{
"address_1": "500 Tidwell Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770222122",
"country_code": "US",
"telephone_number": "832-548-5000",
"fax_number": "713-523-4897",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8575 Pitner Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770802010",
"country_code": "US",
"telephone_number": "713-462-6565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4972 Town Center Pkwy Unit 301",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322468596",
"country_code": "US",
"telephone_number": "904-642-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11260 Sullivan St",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335782140",
"country_code": "US",
"telephone_number": "813-689-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN- BOYD",
"first_name": "CANDICE",
"middle_name": "SHERRELL",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "820821",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11021051",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP06770",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP122007",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080462703",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "URL",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8575 Pitner Rd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770802010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.