Individual provider Active NPI

Irene Wilcox Boyd

  • Case Manager/Care Coordinator
  • Chiefland, FL
National Provider Identifier
1851531552
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
PENDING Issued in FL
Practice address
1411 NW 23Rd Ave
Chiefland, FL 32626-1976
Phone
(352) 493-0360
Fax
(352) 493-0369
NPI assigned
Feb 20, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X PENDING FL Primary

Addresses

Primary practice location

1411 NW 23Rd Ave
Chiefland, FL 32626-1976

Mailing address

220 SW 25TH Ave
Chiefland, FL 32626-0277
Phone (352) 493-0360

Other identifiers 1

IdentifierTypeStateIssuer
1427284272OtherFLTRI-COUNTY ORTHOTIC PROSTHETIC INSTITUTE

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
PENDINGFLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Irene M Boyd Dba/Tri-County Orthotic Prosthetic Institute Past Accepting new patients
Irene M Boyd Dba/Tri-County Orthotic Prosthetic Institute Past Accepting new patients

Organizations & group practices 2

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851531552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 25TH AVE",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260277",
            "telephone_number": "352-493-0360",
            "fax_number": "352-493-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 NW 23RD AVE",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261976",
            "telephone_number": "352-493-0360",
            "fax_number": "352-493-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "IRENE",
        "middle_name": "WILCOX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-COUNTY ORTHOTIC PROSTHETIC INSTITUTE",
            "identifier": "1427284272",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.