Sherley Mardel David Gratia, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

9407209 Issued in FL

Practice address

4777 N Congress Ave
Boynton Beach, FL 33426-7941

Phone

(561) 425-5085

Fax

(561) 209-5167

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soma Medical Center PA 7

  • Pediatrics Physician
  • Boynton Beach, FL
  • NPI 1033790050
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1144747916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 N CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267941",
            "telephone_number": "561-425-5085",
            "fax_number": "561-209-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 N CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267941",
            "telephone_number": "561-425-5085",
            "fax_number": "561-209-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID GRATIA",
        "first_name": "SHERLEY",
        "middle_name": "MARDEL",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9407209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102092000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dave Pharmacy LLC
• Brian Patrick Davey, M.D., PH.D.
• David Boltson, Psy,D., P.a.
• David Craig Hellman DO PA
• David Felker M D P a
• David Green DDS PA
• David H Owen MD PA
• David M Lashway MD PA
• Diana Davidson, PH.D.
• Hava Nikol Davidson

• Pediatric Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.