Individual provider Active NPI

Charissa Yvette Boyd, MSN

  • Family Nurse Practitioner
  • Largo, MD
National Provider Identifier
1992791065
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R140627 Issued in MD
Practice address
1801 McCormick Dr
Suite 180
Largo, MD 20774-5326
Phone
(571) 239-1243
Fax
(877) 804-6629
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R140627 MD Primary

Addresses

Primary practice location

1801 McCormick Dr
Suite 180
Largo, MD 20774-5326

Mailing address

1801 McCormick Dr
Suite 180
Largo, MD 20774-5326
Phone (571) 239-1243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051214000166 DC Practitioner - Nurse Practitioner 5092736322 Reassigns benefits to 1 organization
I20210409000223 VA Practitioner - Nurse Practitioner 5092736322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R140627MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Palliative Care Consultants, LLC CurrentSince Oct 21, 2014 Accepting new patients
Capital Palliative Care Consultants, LLC Past Accepting new patients

Locations

1801 McCormick Dr
Ste 180
Largo, MD 20774
Phone (301) 883-0866

24419 Millstream Dr
Aldie, VA 20105
Phone (703) 351-2807

2900 Telestar Ct
Falls Church, VA 22042
Phone (703) 538-2065

3180 Fairview Park Dr
Ste 500
Falls Church, VA 22042
Phone (703) 485-8949

209 Gibson St NW
Ste 202
Leesburg, VA 20176
Phone (703) 396-6194

Interoperability endpoints

  • Direct secure messaging: cboyd@capitalcaring.ssdirect.aprima.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1992791065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MCCORMICK DR",
            "address_2": "SUITE 180",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745326",
            "telephone_number": "571-239-1243",
            "fax_number": "877-804-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MCCORMICK DR",
            "address_2": "SUITE 180",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745326",
            "telephone_number": "571-239-1243",
            "fax_number": "877-804-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CHARISSA",
        "middle_name": "YVETTE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R140627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.