Kathleen Ann Malcolm Bouza, ARNP FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP2832212 Issued in FL

Practice address

5258 Linton Blvd #106
Delray Beach, FL 33484

Phone

(561) 495-0990

Fax

(561) 495-8276

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.169012

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.

• East Coast Medical Associates, Inc.

  • Specialist
  • Boca Raton, FL
  • NPI 1568576908
  Medicare reassignment NPD
• East Coast Medical Associates, Inc

  dba David I. Levenson, M.D.

  • Specialist
  • Boca Raton, FL
  • NPI 1457410979
  NPD
• East Coast Medical Associates, Inc.

  • Specialist
  • Delray Beach, FL
  • NPI 1326141953
  NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1548273238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FOREST HILLS LANE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-391-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD #106",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33484",
            "telephone_number": "561-495-0990",
            "fax_number": "561-495-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM BOUZA",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "ARNP FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2832212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "73265",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Gerard Mahoney, PT
• Nicole Maisch Day
• Maison de la Providence LLC
• Kelsey Majcher
• Nonkululeko Makhosi
• Marcia Malcolm, M.D.
• Melanie Mallamo, APRN
• Malli Kamireddy M D P a
• Alissa Mallow, DSW, LCSW
• Allison Malnik, LMHC

• Adult Health Nurse Practitioner in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.