Kimberly Boyd

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-180776 Issued in IN

Practice address

12425 Adams Rd
Granger, IN 46530-7525

Phone

(574) 387-4313

Fax

(574) 204-2868

NPI assigned

Feb 18, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2025.

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1972308443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RED COACH DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458307",
            "telephone_number": "574-387-4313",
            "fax_number": "574-204-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 ADAMS RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307525",
            "telephone_number": "574-387-4313",
            "fax_number": "574-204-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-21-180776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Elaine Blumentritt, LMFT
• Ashley Elizabeth Bontrager, RN
• Kathryn Riley Borders
• Amie Nicole Boulanger, RPH
• Ranya Bouzou-Kadi, RPH
• Martin A Boyd, PHARMD
• Comfort M Boye
• Patricia Brach
• Bradford J Eaton PHD
• Brain Power, LLC

• All providers in Granger, IN
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.