Active NPI
Juliet N/a Shaw, APRN
- Gerontology Nurse Practitioner
- Belle Glade, FL
National Provider Identifier
1033729959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11009003
- Practice address
- 1508 Dr MLK Blvd W
Belle Glade, FL 33430-3772 - Phone
- (561) 463-9249
- NPI assigned
- Aug 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11009003 | FL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 11009003 | FL | |
| Hospice Registered Nurse | 163WH1000X | RN9379405 | FL |
Addresses
Primary practice location
1508 Dr MLK Blvd W
Belle Glade, FL 33430-3772
Mailing address
9221 NW 14TH CT Unit 260
Pembroke Pines, FL 33024-4545
Phone (954) 471-7278
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9379405 | FL | MD | Hospice Registered Nurse |
| 11009003 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMJ Health Group Plus Inc | Multi-Specialty | 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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Miami Gardens, FL
- NPI 1477313070
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1033729959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9221 NW 14TH CT UNIT 260",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330244545",
"telephone_number": "954-471-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 DR MLK BLVD W",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334303772",
"telephone_number": "561-463-9249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JULIET",
"middle_name": "N/A",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-05",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11009003",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11009003",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "FL",
"license": "RN9379405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belle Glade, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.