Individual Healthcare Provider
Khawanda Kim Boyd, PBT
Provider's NPPES record last updated: August 20, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1467837955
- Primary Specialty
- Technician, Pathology — Phlebotomy
- Practice Location
- Gary, Indiana
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 8:00 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Technician, Pathology
Phlebotomy
Technologists, Technicians & Other Technical Service Providers
Definition to come...
Taxonomy code 246RP1900X Technician, Pathology
Clinical Laboratory Director, Non-physician
Technologists, Technicians & Other Technical Service Providers
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.
Taxonomy code 247ZC0005XPhysician Assistant
Physician Assistants & Advanced Practice Nursing Providers
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.
Taxonomy code 363A00000X
Provider-Reported License Information
- Technician, Pathology (Indiana)
- 15D2212859
- Technician, Pathology
- 15D2212859
Practice Locations
Practice Location
4701 E 13th Pl
Gary, Indiana 46403-3733
Phone: (219) 588-3555
Additional Practice Location
3838 Atwell Dr
Nashville, Tennessee 37207-3601
Phone: (219) 888-0959
Record Information
- Enumeration Date
- July 24, 2015
- Provider's NPPES Record Last Updated
- August 20, 2021
- Certification Date
- August 1, 2021
- Deactivation Date
- December 2, 2020
- Reactivation Date
- April 12, 2021
- NPISignal NPPES Dataset
- August 2026
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