Active NPI
Charissa Yvette Boyd, MSN
- Family Nurse Practitioner
- Largo, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R140627
- 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
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 |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R140627 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Palliative Care Consultants, LLC | Current | 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
- 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Falls Church, VA
- NPI 1275541013
DC, VA
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Largo, MD
- NPI 1891011151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.