Active NPI
Juliana Natividad, NP
- Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1396508271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11030879
- Practice address
- 5889 Wind Drift LN
Boca Raton, FL 33433-5455 - Phone
- (656) 188-9746
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11030879 | FL | Primary |
Addresses
Primary practice location
5889 Wind Drift LN
Boca Raton, FL 33433-5455
Mailing address
5889 Wind Drift LN
Boca Raton, FL 33433-5455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 29, 2025 through Dec 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11030879 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1396508271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5889 WIND DRIFT LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5889 WIND DRIFT LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335455",
"telephone_number": "656-188-9746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATIVIDAD",
"first_name": "JULIANA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11030879",
"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 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.