Katie Michelle Boychuk

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP134938 Issued in TX

Practice address

5560 Independence Pkwy
Frisco, TX 75035-4600

Phone

(214) 389-8801

Fax

(214) 389-8802

NPI assigned

Jan 22, 2018

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kboychuk159301@direct.childrens.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dallas Physician Medical Services for Children Inc

  dba Children's Health Medical Group

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1194153650
  Medicare reassignment NPD
• Dallas Physician Medical Services for Children Inc

  dba Children's Health Medical Group

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1558407908
  NPD
• Children's Health PM Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • McKinney, TX
  • NPI 1275013955
  NPD (past)
• Complex Care Medical Services Corporation

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1013256098
  NPD (past)
• Hebron Pediatrics PLLC

  • Pediatrics Physician
  • Carrollton, TX
  • NPI 1164971099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1982112124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 INDEPENDENCE PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354600",
            "telephone_number": "214-389-8801",
            "fax_number": "214-389-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 INDEPENDENCE PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354600",
            "telephone_number": "214-389-8801",
            "fax_number": "214-389-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYCHUK",
        "first_name": "KATIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP134938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kaitlyn Bowermaster, PT, DPT, CFPS
• Kelsey Bowers
• Tammie Bowers
• Sydney Bowling
• Erica Nicole Boyce, LCDC-I
• Boyd Physiotherapy PLLC
• Caitlin Boyd
• Mackenzie Boyd, LCSW
• Suzette L Boyd, M.D.
• Tristan T Boyd, P.T.

• Pediatric Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.