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Deactivated NPI 1912109067 Deactivated / Inactive NPI Male Practitioner

Willie Edward Boyd

Assisted Living Facility • Longview, TX

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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, Willie Boyd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2007
NPI Deactivation Date January 22, 2008
Total Practice Duration ~1 Years of Practice (2007 – 2008)

Professional Overview & Biography Verified Profile Summary

Willie Boyd was a registered Assisted Living Facility practicing in Longview, TX. Throughout an active medical career spanning 1 years, Willie Boyd provided care at the practice location at 315 EAST CLIFFWOOD until profile deactivation on 2008-01-22.

Practice Location & Contact Primary Location

Practice Address

315 East Cliffwood

Longview, TX 75603

Telephone 9036432129
Fax 9036430307

Specialty Benchmarks & Practice Insights

Comparative analytics for Assisted Living Facility in Longview, TX

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

Practicing in Longview, TX (184 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

Assisted Living Facility Primary Specialty

NUCC Taxonomy Code: 310400000X

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Reactivated December 29, 2014

Record officially reactivated for active practice on December 29, 2014

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Updated Practice Location December 29, 2014

Registered at 315 EAST CLIFFWOOD, LONGVIEW, TX 75603 (Tel: 9036432129)

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Updated Business Mailing Address December 29, 2014

Registered at 315 EAST CLIFFWOOD, LONGVIEW, TX 75603 (Tel: 9036432129)

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Provider Name / Credentials Updated December 29, 2014

Recorded as WILLIE BOYD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2014

Assisted Living Facility

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NPI Profile Deactivated January 22, 2008

Record deactivated on January 22, 2008

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Initial NPI Registration & Enumeration June 01, 2007

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: 1912109067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2007
Last Update: December 29, 2014
Deactivation Date: January 22, 2008
Sole Proprietor: Yes

Mailing Address

315 East Cliffwood

Longview, TX 75603

Phone: 9036432129

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.