Individual provider Active NPI

Wiston St Julien, MHA

  • Home Health Registered Nurse
  • Boca Raton, FL
National Provider Identifier
1003326794
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
39969280 Issued in FL
Practice address
621 NW 53Rd St Ste 125
Boca Raton, FL 33487-8236
Phone
(561) 860-3094
NPI assigned
Oct 6, 2017
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 39969280 FL Primary

Addresses

Primary practice location

621 NW 53Rd St Ste 125
Boca Raton, FL 33487-8236

Mailing address

621 NW 53Rd St Ste 125
Boca Raton, FL 33487-8236
Phone (561) 860-3094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39969280FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Home Senior Care Services LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1003326794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878236",
            "telephone_number": "561-860-3094",
            "fax_number": "561-634-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878236",
            "telephone_number": "561-860-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JULIEN",
        "first_name": "WISTON",
        "name_prefix": "Mr.",
        "credential": "MHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "39969280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.