Individual provider Active NPI

Keriann Napora

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1093074247
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112991 Issued in FL
Practice address
9970 Central Park Blvd N Ste 300
Boca Raton, FL 33428-2237
Phone
(561) 488-2200
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA9112991 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd N Ste 300
Boca Raton, FL 33428-2237

Mailing address

9970 Central Park Blvd N Ste 300
Boca Raton, FL 33428-2237
Phone (561) 488-2200

Other practice location 1

1101 Stewart Ave
Garden City, NY 11530-4892
Phone (516) 536-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180815003139 NY Practitioner - Physician Assistant 8325397987 Reassigns benefits to 1 organization
I20200520000001 FL Practitioner - Physician Assistant 8325397987 Reassigns benefits to 1 organization
I20251028000381 NV Practitioner - Physician Assistant 8325397987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

407 Lincoln Rd
Miami Beach, FL 33139-3055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Jul 3, 2018 Accepting new patients
True North Medical Group PC Physician Assistant CurrentSince Jul 3, 2018 Accepting new patients
Conviva Medical Center Management LLC PastSince Aug 1, 2024 Accepting new patients
Img Medical Group TX, P.a. Past Accepting new patients

Locations

1101 Stewart Ave
Garden City, NY 11530
Phone (516) 794-2835

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Interoperability endpoints

  • Direct secure messaging: keriannnapora@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1093074247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-488-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-488-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304892",
            "country_code": "US",
            "telephone_number": "516-536-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAPORA",
        "first_name": "KERIANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.