Shalondria Bostic

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906812 Issued in FL

Practice address

1575 52ND Ave N
3 Years
St Petersburg, FL 33703-2629

Phone

(727) 550-7257

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• House of Bostics LLC (the)

  • Assisted Living Facility (Mental Illness)
  • Saint Petersburg, FL
  • NPI 1447870266
  NPD Authorized official

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1447618640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 52ND AVE N",
            "address_2": "3 YEARS",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032629",
            "telephone_number": "727-550-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 52ND AVE N",
            "address_2": "3 YEARS",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032629",
            "telephone_number": "727-550-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "SHALONDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary C Borzell, M.A. CCC-SLP
• Loan Bosch, FNP-C
• Kara Boskee, B.S., M.S.
• Shawniece Devon Boss, DPM
• Carli Bostic-Bixby
• John J. Bosworth, M.A., LMHC
• Angela Catalina Botero Suarez, D.D.S
• Claudia Botero, PA
• Radoslav Botev, M.S.
• Tiffani Botts, PA-C

• Adult Care Home Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.