MEDICARE: SHANNON DANIELLE BOYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician	NPCN-16925-5578	DC

General Provider Information

NPI Number	:	1225994643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON DANIELLE BOYD

Provider Business Mailing Address
First Line	:	10800 GEORGIA AVE APT T1
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4725
Country	:	US
Telephone Number	:	202-839-2675
Fax Number	:

Provider Business Practice Location Address
First Line	:	10800 GEORGIA AVE APT T1
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4725
Country	:	US
Telephone Number	:	202-839-2675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	12/30/2025

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Directions to “ SHANNON DANIELLE BOYD ” Practice Location

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