Individual provider Active NPI

Boby Ukken, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1447656244
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9358573 Issued in FL
Practice address
1931 NW 150TH Ave Ste 278
Pembroke Pines, FL 33028-2885
Phone
(954) 406-5220
Fax
(754) 348-0098
NPI assigned
Nov 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9358573 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9358573 FL Primary

Addresses

Primary practice location

1931 NW 150TH Ave Ste 278
Pembroke Pines, FL 33028-2885

Mailing address

1931 NW 150TH Ave Ste 278
Pembroke Pines, FL 33028-2885
Phone (954) 406-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180918000470 FL Practitioner - Nurse Practitioner 7911258892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luis Hines and Associates, PAGroup PAC ID 1153311766, 4 clinicians

Practice addresses (Care Compare)

2828 Coral Way
Suite 460
Coral Gables, FL 33145-3242
Phone (305) 642-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9358573FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carma Health PA CurrentSince Aug 1, 2019 Accepting new patients
Luis Hines & Associates, PA Psychiatric/Mental Health CurrentSince Feb 29, 2020 Accepting new patients
TLC Recovery Center of S Florida, LLC CurrentSince May 25, 2022 Accepting new patients
A & B Medical Integrated Care Inc Psychiatric/Mental Health CurrentSince Aug 4, 2024 Accepting new patients
Henderson Behavioral Health, Inc. PastSince May 21, 2018 Accepting new patients
O Yes Medical Services Inc. PastSince Feb 29, 2020 Accepting new patients

Locations

1250 SW 27th Ave
Ste 404
Miami, FL 33135
Phone (305) 642-5255

2828 Coral Way
Ste 460
Miami, FL 33145
Phone (305) 642-5255

12550 Biscayne Blvd
Ste 306
North Miami, FL 33181
Phone (305) 895-0504

5401 S Kirkman Rd
Ste 310
Orlando, FL 32819
Phone (305) 895-0504

1931 NW 150th Ave
Ste 278
Pembroke Pines, FL 33028
Phone (954) 406-5220

630 W 34th St
Ste 301
Austin, TX 78705
Phone (512) 212-4670

Organizations & group practices 7

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1447656244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE STE 278",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282885",
            "telephone_number": "954-406-5220",
            "fax_number": "754-484-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE STE 278",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282885",
            "telephone_number": "954-406-5220",
            "fax_number": "754-348-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKKEN",
        "first_name": "BOBY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9358573",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9358573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.