JEFFREY BOYD (NPI# 1255980025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255980025 |
| Entity Type | Individual |
| Full Name | JEFFREY BOYD |
| Credential | AGPCNP |
| Practice Address |
1200 W State St Rockford IL 61102-2112 |
| Practice Telephone | 8154901600 |
| Practice Fax Number | 8154901881 |
| Mailing Telephone | 8154901600 |
| Mailing Fax Number | 8154901881 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209020005 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6115 N 2nd St, Loves Park, IL 611114155 | 8154901600 | 8159624789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396172755 | Jeffrey Edward Boyd | Assisted Living Facility | 55 Plantation Dr, Stockbridge, GA 30281-4856 | 2013-10-01 |
| 1083697114 | Jeffrey Howard Boyd | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2005-11-22 |
| 1770076176 | Jeffrey M Boyd | Internal Medicine | 111 S 11th St, Philadelphia, PA 19107 | 2018-06-11 |
| 1598265118 | Jeffrey Boyd | Social Worker | 309 W Clark St, Champaign, IL 61820-4637 | 2018-02-20 |
| 1538667225 | Jeffrey Boyd | Military Health Care Provider | 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000 | 2018-01-27 |
| 1154746592 | Jeffrey Santee Boyd | Marriage & Family Therapist | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2014-02-21 |
| 1508043522 | Jeffrey K Boyd | Radiology | 1230 S Hurstbourne Pkwy Ste 210, Louisville, KY 40222-5757 | 2008-01-22 |
| 1255498366 | Jeffrey R Boyd | Ophthalmology | 4102 Ogletown Stanton Rd, Harmony Plaza, Suite 1, Newark, DE 19713-4183 | 2007-01-02 |
| 1023194636 | Jeffrey Stephen Boyd | Physician Assistant | 390 S Central Ave, P. O. Drawer 2325, Umatilla, FL 32784-9602 | 2006-10-27 |
| 1902905854 | Jeffrey L Boyd | Psychologist | 914 S 8th St, S100, Minneapolis, MN 55404-1210 | 2006-09-21 |
| Street Address |
1200 W STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61102-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680827 | Barbara B Morgan | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2005-06-23 |
| 1588271894 | Angela Siebold | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2020-09-30 |
| 1942814322 | Jacqueline Paige Cabrera | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2020-09-03 |
| 1285250951 | Aaleeyah Pringle Alim | Dentist | 1200 W State St, Rockford, IL 61102-2112 | 2020-06-18 |
| 1639792419 | Jessica Lauren Cole | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2020-05-27 |
| 1437779071 | Christian Murillo | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2020-04-23 |
| 1033746573 | Erin Ashleigh Donahue | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2020-03-25 |
| 1609406008 | Marissa Dreger | Family Medicine | 1200 W State St, Rockford, IL 61102-2112 | 2020-01-24 |
| 1962041657 | Sabrina Lee Puvalowski | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-12-30 |
| 1932741717 | Jacob Dalton Boehm | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205115383 | Renee Lynn Keeney | Advanced Practice Midwife | 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 | 2011-08-08 |
| 1689895906 | Linda Lou O'reilly | Local Education Agency (LEA) | 1515 S. Meridian Road, Rockford, IL 61102 | 2007-05-02 |
| 1801012992 | Jennifer Anne Boyd | Developmental Therapist | Nia 1515 S. Meridian Rd., Rockford, IL 61102 | 2007-04-17 |
| 1609173434 | Kellie J Gibbons | Registered Nurse | 650 W State Street, Winnebago County Jail Medical Unit, Rockford, IL 61102-0000 | 2011-02-14 |
| 1275708752 | Mercy Ambulance Service LLC | Ambulance | 1025 Campton Dr, Rockford, IL 61102-1066 | 2008-04-25 |
| 1417448424 | Brittany Nicole Lambert | Student in an Organized Health Care Education/Training Program | 8040 Towermont Dr, Rockford, IL 61102-1080 | 2018-05-24 |
| 1164490132 | Harlan Johnson | Counselor | 852 Lakewood Dr, Rockford, IL 61102-1228 | 2006-03-08 |
| 1184137283 | Gail Mary Swenson | Speech-Language Pathologist | 730 Lincoln Park Blvd, Rockford, IL 61102-1429 | 2017-11-10 |
| 1659316339 | Institute of Family Care | Home Health | 417 S Pierpont Ave, Rockford, IL 61102-1656 | 2006-06-18 |
| 1861851438 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1200 W State St Ste 102, Rockford, IL 61102-2112 | 2016-02-11 |
| Find all providers in zip 61102 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275004087 | Ruth Taggart, LLC | Nurse Practitioner | 719 Paris Ave, Rockford, IL 61107-3241 | 2018-12-06 |
| 1700338720 | Fiona Uzoamaka Okoroti | Nurse Practitioner | 3650 N Alpine Rd, Rockford, IL 61114-4899 | 2016-10-25 |
| 1639586399 | Cora Marie Reynolds | Nurse Practitioner | 301 E State St, Rockford, IL 61104-1012 | 2014-07-15 |
| 1396158812 | Melissa House | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2014-06-03 |
| 1073941605 | Angela Marie Hadie | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2013-10-16 |
| 1205261724 | Michelle Lee Cleveland | Nurse Practitioner | 3401 N Perryville Rd, Suite 303, Rockford, IL 61114-8011 | 2013-09-04 |
| 1992057251 | Anne M Celner | Nurse Practitioner | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2012-10-11 |
| 1801121405 | Christine L. Valentine | Nurse Practitioner | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2009-10-15 |
| 1053554493 | Angela Brown | Nurse Practitioner | 5911 Nebeshone Ln, Rockford, IL 61103-8926 | 2009-04-15 |
| 1407039167 | Michele Dawn Johnson | Nurse Practitioner | 3775 N Mulford Rd, Rockford, IL 61114-5632 | 2007-12-17 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.