MRS. ROBERTA LYNNE BOYD RN CPNP NPI 1952576837

NPI Information

NPI: 1952576837
Provider Name: MRS. ROBERTA LYNNE BOYD, RN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: MERCY CLINIC SPRINGFIELD COMMUNITIES

PECOS Registration: Yes

Address:
2115 S FREMONT AVE
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-3535
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MRS. Roberta Lynne Boyd, RN, CPNP is a pediatrics nurse practitioner in Springfield, MO with 28 years of experience. MRS. Roberta Lynne Boyd, RN, CPNP NPI is 1952576837. 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:

2115 S FREMONT AVE
SPRINGFIELD, MO
ZIP 65804-239
Phone: (417) 820-3535

The NPI 1952576837 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 3/17/2018.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	2000166102	MISSOURI	Yes

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
1	425841806	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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