Leisa Diane Wilson Boyer, M.A.

Primary specialty

ContractorTaxonomy code 171W00000X

License

3336395 Issued in AZ

Practice address

10385 E Hwy 92
Palominas School Dist
Hereford, AZ 85615

Phone

(520) 366-6204

NPI assigned

Jan 8, 2008

Last updated

Jan 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Palominas Scholl District

  • Local Education Agency (LEA)
  • Hereford, AZ
  • NPI 1699822965
  NPD (past)
• Palominas School District

  • Specialist
  • Hereford, AZ
  • NPI 1073893947
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1942485040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. 38",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "85615",
            "telephone_number": "520-366-6204",
            "fax_number": "520-366-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10385 E HWY 92",
            "address_2": "PALOMINAS SCHOOL DIST",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "85615",
            "telephone_number": "520-366-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "LEISA",
        "middle_name": "DIANE WILSON",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "3336395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Arellano Sr., M.D.
• Jennifer Kay Barnett, PTA
• Lisa Ann Bilek, NP
• Bisbee Hospital Association (Copper Queen Medical Associates Palominas)
• Bisbee Hospital Association (Copper Queen Community Hospital Hereford RHC)
• Scott Burton
• Michelle Lynne Capers, RN
• Anne M Castello, BCBA, M.ED., BCBA
• Kelly Michelle Ceniceros, R.N.
• Joel Childs

• Contractor in Hereford, AZ
• Providers in Hereford, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.