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Khawanda Kim Boyd , PBT

Technician, Pathology - Phlebotomy β€’ Gary, IN

Active NPI 1467837955 Individual Practitioner Female Practitioner
Practice location in NPPES

4701 E 13th Pl
Gary, IN 464033733

Call 2195883555 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4701 E 13th Pl

Gary, IN 464033733

Telephone 2195883555
Fax 2198889880
Organization at the Same NPPES Address or Phone
Labone Mobile Phlebotomy Inc Facility NPI 1205431848

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Nashville, TN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gary and Indiana

3 active clinicians are listed under Technician, Pathology - Phlebotomy with a practice address in Gary, IN (47 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-01
Technician, Pathology - Phlebotomy Primary Specialty

NUCC Taxonomy Code: 246RP1900X

Technician, Pathology - Phlebotomy

NUCC Taxonomy Code: 246RP1900X

License # reported to NPPES IN 15D2212859
Technician, Pathology - Clinical Laboratory Director, Non-physician

NUCC Taxonomy Code: 247ZC0005X

License # reported to NPPES None 15D2212859

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Secondary Practice Locations

3838 Atwell Dr

Nashville, TN 372073601

Phone: 2198880959

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2021

Physician Assistant

πŸ“
Updated Practice Location May 11, 2021

Registered at 4701 E 13TH PL, GARY, IN 464033733 (Tel: 2195883555)

πŸ“
Updated Business Mailing Address May 11, 2021

Registered at 4701 E 13TH PL, GARY, IN 464033733 (Tel: 2195883555)

πŸ‘€
Provider Name / Credentials Updated May 11, 2021

Recorded as KHAWANDA BOYD, PBT

πŸ”„
NPI Profile Reactivated April 12, 2021

Record officially reactivated for active practice on April 12, 2021

πŸ“
Updated Practice Location April 12, 2021

Registered at 3838 ATWELL DR, NASHVILLE, TN 372073601 (Tel: 2198880959)

πŸ“
Updated Business Mailing Address April 12, 2021

Registered at 3838 ATWELL DR, NASHVILLE, TN 372073601 (Tel: 2198880959)

πŸ‘€
Provider Name / Credentials Updated April 12, 2021

Recorded as KHAWANDA BOYD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2021

Technician, Pathology

⚠️
NPI Profile Deactivated December 02, 2020

NPPES lists this NPI as deactivated as of December 02, 2020; the reason is not published.

βœ…
NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 24, 2015

Registered at 3838 ATWELL DR, NASHVILLE, TN 372073601 (Tel: 2198880959)

πŸ“
Business Mailing Address (Initial Record) July 24, 2015

Registered at 3838 ATWELL DR, NASHVILLE, TN 372073601 (Tel: 2198880959)

πŸ‘€
Provider Name / Credentials (Initial Record) July 24, 2015

Recorded as KHAWANDA BOYD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2015

Technician, Pathology

🟒
Initial NPI Registration & Enumeration July 24, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467837955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2015
Last Update: August 20, 2021
Sole Proprietor: No

Mailing Address

4701 E 13th Pl

Gary, IN 464033733

Phone: 2195883555

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.