Individual provider Active NPI

Betsy Leibowitz, ARNP

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1265822712
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9235983 Issued in FL
Practice address
101 Plaza Real S Ste a
Boca Raton, FL 33432-4855
Phone
(866) 641-2673
Fax
(561) 300-2118
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9235983 FL
Family Nurse Practitioner 363LF0000X ARNP9235983 FL Primary

Addresses

Primary practice location

101 Plaza Real S Ste a
Boca Raton, FL 33432-4855

Mailing address

5998 Las Colinas Cir
Lake Worth, FL 33463-6559
Phone (786) 385-8795

Other practice location 1

200 NE 2nd Ave Ste 105
Delray Beach, FL 33444-3768
Phone (866) 641-2673

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

State licenses

LicenseStateTypeSpecialty
9235983FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associated of the Palm Beaches Family PastSince Feb 16, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1265822712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5998 LAS COLINAS CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636559",
            "telephone_number": "786-385-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAZA REAL S STE A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324855",
            "telephone_number": "866-641-2673",
            "fax_number": "561-300-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NE 2nd Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334443768",
            "country_code": "US",
            "telephone_number": "866-641-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "BETSY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9235983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9235983",
            "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 Feb 14, 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.

Verify at the official NPI Registry.