Boutique Breast Imaging, LLC
NPI 1952180887 · Diagnostic Radiology Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boutique Breast Imaging, LLC is a Diagnostic Radiology Physician organization in Jacksonville, FL (NPI 1952180887).
Provider details
- NPI number
- 1952180887
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathryn Peyton, Manager(904) 553-8806
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mammography Clinic/Center261QR0206X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-28
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Frequently asked questions
- What is Boutique Breast Imaging, LLC's NPI number?
- Boutique Breast Imaging, LLC's National Provider Identifier (NPI) is 1952180887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boutique Breast Imaging, LLC?
- Boutique Breast Imaging, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Boutique Breast Imaging, LLC located?
- Boutique Breast Imaging, LLC's practice location on file with NPPES is 6871 Belfort Oaks Pl, Jacksonville, FL 32216-6242.
- What is Boutique Breast Imaging, LLC's phone number?
- The practice phone number listed in the NPPES registry for Boutique Breast Imaging, LLC is (904) 553-8806.
- Does Boutique Breast Imaging, LLC accept Medicare?
- Boutique Breast Imaging, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boutique Breast Imaging, LLC?
- The authorized official listed on Boutique Breast Imaging, LLC's NPPES record is Kathryn Peyton, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boutique Breast Imaging, LLC's NPI active?
- Yes — Boutique Breast Imaging, LLC's NPI (1952180887) is active in the NPPES registry as of the last update on 2023-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.