Active NPI
David Robert Boyd, MS,LAT,ATC
- Athletic Trainer
- Terre Haute, IN
National Provider Identifier
1942653555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36002437A
- Practice address
- 1725 N 5TH St
Terre Haute, IN 47804-4010 - Phone
- (812) 238-7677
- NPI assigned
- Jul 19, 2016
- Last updated
- Jul 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36002437A | IN | Primary |
Addresses
Primary practice location
1725 N 5TH St
Terre Haute, IN 47804-4010
Mailing address
4251 S Hilton St
Terre Haute, IN 47802-4327
Phone (304) 282-1897
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002437A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1942653555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 S HILTON ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024327",
"telephone_number": "304-282-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 N 5TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478044010",
"telephone_number": "812-238-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MS,LAT,ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002437A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.