Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467837955 Deactivated / Inactive NPI Female Practitioner

Khawanda Kim Boyd , PBT

Technician, Pathology - Phlebotomy • Gary, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Khawanda Boyd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 24, 2015
NPI Deactivation Date December 02, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

Khawanda Boyd, PBT was a registered Technician, Pathology - Phlebotomy practicing in Gary, IN. Throughout an active medical career spanning 5 years, Khawanda Boyd provided care at the practice location at 4701 E 13TH PL until profile deactivation on 2020-12-02.

Practice Location & Contact Primary Location

Practice Address

4701 E 13th Pl

Gary, IN 464033733

Telephone 2195883555
Fax 2198889880
Associated Practice Facility / Clinic
🏢 Labone Mobile Phlebotomy Inc Facility NPI 1205431848

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Pathology - Phlebotomy in Gary, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Gary, IN (46 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-01
Technician, Pathology - Phlebotomy Primary Specialty

NUCC Taxonomy Code: 246RP1900X

Definition to come...

Technician, Pathology - Phlebotomy

NUCC Taxonomy Code: 246RP1900X

State License IN 15D2212859

Definition to come...

Technician, Pathology - Clinical Laboratory Director, Non-physician

NUCC Taxonomy Code: 247ZC0005X

State License 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.

Secondary Practice Locations

3838 Atwell Dr

Nashville, TN 372073601

Phone: 2198880959

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2021

Physician Assistant

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Updated Practice Location May 11, 2021

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

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Updated Business Mailing Address May 11, 2021

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

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Provider Name / Credentials Updated May 11, 2021

Recorded as KHAWANDA BOYD, PBT

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Updated Practice Location April 12, 2021

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

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Updated Business Mailing Address April 12, 2021

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

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Provider Name / Credentials Updated April 12, 2021

Recorded as KHAWANDA BOYD

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

Technician, Pathology

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NPI Profile Deactivated December 02, 2020

Record deactivated on December 02, 2020

NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2015

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

📍
Updated Business Mailing Address July 24, 2015

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

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Provider Name / Credentials Updated July 24, 2015

Recorded as KHAWANDA BOYD

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

Technician, Pathology

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Initial NPI Registration & Enumeration July 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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
Deactivation Date: December 02, 2020
Sole Proprietor: No

Mailing Address

4701 E 13th Pl

Gary, IN 464033733

Phone: 2195883555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.