PASCHA J BOYD APN NPI 1639175912

NPI Information

  • NPI: 1639175912
  • Provider Name: PASCHA J BOYD, APN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 E BRADFORD PKWY
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 761-5000

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NPI Details

Pascha J Boyd, APN is a psychiatric/mental health nurse practitioner in Springfield, MO. Pascha J Boyd, APN NPI is 1639175912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 E BRADFORD PKWY
SPRINGFIELD, MO
ZIP 65804-264
Phone: (417) 761-5000
Fax: (417) 761-5011

The NPI 1639175912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 4/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health143473MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11639175912MEDICAIDMISSOURI
2104530025MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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