Active NPI
Junique Shannon Boswell
- Case Manager/Care Coordinator
- Oakland, CA
National Provider Identifier
1568024065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 11 Embarcadero W Ste 136
Oakland, CA 94607-4500 - Phone
- (510) 467-4250
- NPI assigned
- Jul 3, 2019
- Last updated
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | CA | Primary |
Addresses
Primary practice location
11 Embarcadero W Ste 136
Oakland, CA 94607-4500
Mailing address
11 Embarcadero W Ste 136
Oakland, CA 94607-4500
Phone (510) 467-4250
Other practice location 1
390 40th St
Oakland, CA 94609-2633
Phone (510) 247-8235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Programs, Inc. | Current | Accepting new patients |
Locations
11 Embarcadero W
Ste 136
Oakland, CA 94607
Phone (510) 467-4250
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1568024065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 EMBARCADERO W STE 136",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074500",
"telephone_number": "510-467-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 EMBARCADERO W STE 136",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074500",
"telephone_number": "510-467-4250"
}
],
"practiceLocations": [
{
"address_1": "390 40th St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946092633",
"country_code": "US",
"telephone_number": "510-247-8235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSWELL",
"first_name": "JUNIQUE",
"middle_name": "SHANNON",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.