RAVEN BOYD (NPI# 1659814333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659814333 |
| Entity Type | Individual |
| Full Name | RAVEN BOYD |
| Credential | R.N. |
| Practice Address |
2200 N Patterson St Valdosta GA 31602-2597 |
| Mailing Address |
87 Eleanor Pl Ray City GA 31645-3722 |
| Practice Telephone | 2292441707 |
| Mailing Telephone | 2295601172 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
RN222743 | GA | Nursing Service Providers |
| Street Address |
2200 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225163884 | Sara E. Riley | Counselor | 2200 N Patterson St, Valdosta, GA 31602-2597 | 2007-02-23 |
| 1508309030 | Marshall Curtis Harper | Counselor | 2200 N Patterson St, Suite D, Valdosta, GA 31602-2597 | 2016-12-01 |
| 1639611643 | Kelly Broyles | Marriage & Family Therapist | 2200 N Patterson St, Suite D, Valdosta, GA 31602-2597 | 2016-11-08 |
| 1629359708 | Lauren Clarke | Counselor | 2200 N Patterson St, Valdosta, GA 31602-2597 | 2011-09-02 |
| 1972737468 | Sandra Gale Wilcher | Social Worker | 2200 N Patterson St, Valdosta, GA 31602-2597 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877013 | Aurelia Linda Bryant-moody | Registered Nurse | 2012 Eastview Pkwy Ste 400, Conyers, GA 30013-5701 | 2018-07-11 |
| 1902349145 | Erica Steed | Registered Nurse | 3270 Cape Cir, Alpharetta, GA 30009-3772 | 2016-11-21 |
| 1821344557 | Nellie Idara Samuel | Registered Nurse | 2400 Northside Xing, Macon, GA 31210-2252 | 2012-07-31 |
| 1720340078 | Linda D Ilesanmi | Registered Nurse | 4045 George Busbee Pkwy Nw, Kennesaw, GA 30144-4894 | 2012-06-12 |
| 1386910438 | Thomas L Myers | Registered Nurse | 644 Shannon Way, Lawrenceville, GA 30044-6305 | 2012-03-22 |
| 1073889143 | Maureen U Anyaoha | Registered Nurse | 1410 Paddocks Way, Powder Springs, GA 30127-5500 | 2012-03-22 |
| 1780959106 | Barbara Elaine Hill-coatney | Registered Nurse | 1358 Thomas Rd, Decatur, GA 30030-4621 | 2012-03-19 |
| 1740554799 | Lanalynne Ann Kurtzworth | Registered Nurse | 35 Beranda Cir, Douglasville, GA 30134-4626 | 2012-03-07 |
| 1659668622 | Willie C Onyilo | Registered Nurse | 3126 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2011-06-29 |
| 1124314232 | Philomen Anabelle Mcfee | Registered Nurse | 225 Johnson Rd, 45e, Forest Park, GA 30297-2861 | 2011-06-27 |
| Find all providers with the same taxonomy | ||||
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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.