Robin D Boykin
Individual provider Active NPI Homemaker · Campbell, MO
NPI 1972646255 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1972646255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- 17-491576 (MO)
- Practice address
- 212 W Grand Ave
Campbell, MO 63933-1520 - Phone
- (573) 246-3044
- Fax
- (573) 246-3580
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-491576 | MO | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Home Care | Current |
Accepting new patients |
Locations
212 W Grand Ave
Campbell, MO 63933
Phone (573) 246-3044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 17-491576 | MO | Yes |
Addresses
Primary practice location
212 W Grand Ave
Campbell, MO 63933-1520
Mailing address
212 W Grand Ave
Campbell, MO 63933-1520
Phone (573) 246-3044
Other providers in Campbell, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.