Active NPI
Yarianna Boccia
- Family Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1053966366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11003464
- Practice address
- 6221 N Federal Hwy
Fort Lauderdale, FL 33308-1903 - Phone
- (954) 491-1686
- NPI assigned
- Aug 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11003464 | FL | Primary |
Addresses
Primary practice location
6221 N Federal Hwy
Fort Lauderdale, FL 33308-1903
Mailing address
6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000
Other practice location 1
17160 Royal Palm Blvd Ste 2
Weston, FL 33326-2395
Phone (954) 762-6440
Other practice location 2
601 N Flamingo Rd Ste 304
Pembroke Pines, FL 33028-1010
Phone (954) 433-3114
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 |
|---|---|---|---|
| 11003464 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1053966366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262051",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081903",
"telephone_number": "954-491-1686"
}
],
"practiceLocations": [
{
"address_1": "17160 Royal Palm Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333262395",
"country_code": "US",
"telephone_number": "954-762-6440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 N Flamingo Rd Ste 304",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281010",
"country_code": "US",
"telephone_number": "954-433-3114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOCCIA",
"first_name": "YARIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-04",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11003464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.