Active NPI
Lyle Everett Board, ATC, CSCS
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Baton Rouge, LA
National Provider Identifier
1962440404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- J00203
- Practice address
- 8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827 - Phone
- (225) 408-7990
- Fax
- (225) 408-7989
- NPI assigned
- Jun 4, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | J00203 | LA | Primary |
Addresses
Primary practice location
8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827
Mailing address
8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827
Phone (225) 408-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J00203 | Other | LA | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| J00203 | LA | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962440404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 BLUEBONNET BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107827",
"telephone_number": "225-408-7990",
"fax_number": "225-408-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 BLUEBONNET BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107827",
"telephone_number": "225-408-7990",
"fax_number": "225-408-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOARD",
"first_name": "LYLE",
"middle_name": "EVERETT",
"name_prefix": "Mr.",
"credential": "ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "LA",
"license": "J00203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "J00203",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.