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NPI Code Detail

MEDICARE: DR. CELESTE BOYD DNP, PMHNP-BC, FNP-C

MEDICARE: DR. CELESTE BOYD DNP, PMHNP-BC, FNP-C
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
1363LF0000XFamily Nurse Practitioner9295246FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner9295246FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19295246OTHERFLARNP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962743856
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CELESTE BOYD DNP, PMHNP-BC, FNP-C
Provider Business Mailing Address
First Line : 5104 NW 47TH ST
Second Line :
City : TAMARAC
State : FL
Zip : 33319-3706
Country : US
Telephone Number : 954-647-3656
Fax Number : 954-206-0054
Provider Business Practice Location Address
First Line : 109 W 27TH ST RM 5S
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6208
Country : US
Telephone Number : 954-684-0140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2013
Last Update Date : 04/10/2026

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