Active NPI
Katherine Dawn Boyer
- Health Educator
- Berkeley, MO
National Provider Identifier
1972180420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- SE-204
- Practice address
- 6121 N Hanley Rd
Berkeley, MO 63134-2003 - Phone
- (314) 615-0600
- NPI assigned
- Mar 29, 2021
- Last updated
- Mar 29, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | SE-204 | MO | Primary |
Addresses
Primary practice location
6121 N Hanley Rd
Berkeley, MO 63134-2003
Mailing address
6121 N Hanley Rd
Berkeley, MO 63134-2003
Phone (314) 615-8903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SE-204 | Other | MO | ASTHMA EDUCATION |
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 |
|---|---|---|---|
| SE-204 | MO | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1972180420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6121 N HANLEY RD",
"city": "BERKELEY",
"state": "MO",
"postal_code": "631342003",
"telephone_number": "314-615-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6121 N HANLEY RD",
"city": "BERKELEY",
"state": "MO",
"postal_code": "631342003",
"telephone_number": "314-615-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "KATHERINE",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MO",
"license": "SE-204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASTHMA EDUCATION",
"identifier": "SE-204",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, MO
- Mallory Adams, PHARMD
- Ophelia Anderson
- Lanora A Barman, RN
- Black Essence Beauty Supply (Lifestyle Locs)
- Matt Bourne, PHARMD
- Bradley Edward Burns, D.C
- Caring Partners Medical Supply LLC
- Danielle Theresa Chavez, MS, RD, LD
- City of Berkeley (City of Berkeley Fire Department Ambulance Service)
- Tanquerae Kissy-Virginia Cole, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.