Nickesha Woolery, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11026257 Issued in FL

Practice address

18752 Shauna Manor Dr
Boca Raton, FL 33496-2139

Phone

(701) 936-1031

NPI assigned

May 9, 2023

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.

• Aimergency Connect Psychcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conyers, GA
  • NPI 1205519907

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1457041931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18752 SHAUNA MANOR DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962139",
            "telephone_number": "701-936-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18752 SHAUNA MANOR DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962139",
            "telephone_number": "701-936-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLERY",
        "first_name": "NICKESHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11026257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Michelle Woo, PA-C
• Madison Wood
• Emily Catherine Woodbury, M.D.
• Lang Thi Woodmansee, OD
• Steven Gregory Earl Woolacott, MD
• Working Nurses Homecare Palm Beach, LLC
• Sarah Kelly Workman, PA-C
• World First Class Home Health Inc
• World of Hope Services Corp
• World Psychiatry LLC

• Psychiatric/Mental Health Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.