Katie Elise Boyd, PNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

383184 Issued in NY

Practice address

725 Irving Ave Ste 504
Syracuse, NY 13210-1683

Phone

(315) 464-8444

Fax

(315) 464-8445

NPI assigned

Sep 3, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: koconnell41977@direct.upstate.edu

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.

• Pediatric Service Group

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1770539066
  Medicare reassignment NPD
• Suny Health Science Center at Syracuse

  dba Upstate University Hospital

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1184974529

  Nurse Practitioner

  Medicare reassignment NPD
• Suny Health Science Center at Syracuse

  dba Upstate Outpatient Pharmacy at Nappi

  • Pharmacy
  • Syracuse, NY
  • NPI 1306567474
  NPD
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  NPD (past)
• University OB/GYN Associates

  • Gynecology Physician
  • Syracuse, NY
  • NPI 1235170150
  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1902410186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SALINA MEADOWS PKWY",
            "address_2": "STE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124516",
            "telephone_number": "315-464-2000",
            "fax_number": "315-464-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE STE 504",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101683",
            "telephone_number": "315-464-8444",
            "fax_number": "315-464-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KATIE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "383184",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bowser, MD
• Anna Cecelia Bowyer
• Jason Boyce
• Kathleen L Boyce
• Kenneth Earl Boyce, PHYSICIANS ASSISTANT
• Tarik Boyd, RN
• Rebecca E Boyea-Kertesz, PA
• Bailey Boyer
• Jill Christa Boyer, LCSW
• Caitlin Boylan, FNP-C

• Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.