Individual provider Active NPI

Samia Boufares, APRN

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1639626351
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9334612 Issued in FL
Practice address
13141 Spring Hill Dr
Spring Hill, FL 34609-5016
Phone
(352) 515-0025
Fax
(352) 515-0174
NPI assigned
Sep 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9334612 FL Primary

Addresses

Primary practice location

13141 Spring Hill Dr
Spring Hill, FL 34609-5016

Mailing address

PO Box 20494
Tampa, FL 33622-0494
Phone (352) 515-0025

Other practice location 1

17807 Hunting Bow Cir Ste 101
Lutz, FL 33558-5402
Phone (813) 388-9922

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9334612FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1639626351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20494",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220494",
            "telephone_number": "352-515-0025",
            "fax_number": "352-515-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095016",
            "telephone_number": "352-515-0025",
            "fax_number": "352-515-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17807 Hunting Bow Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335585402",
            "country_code": "US",
            "telephone_number": "813-388-9922",
            "fax_number": "813-406-4691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUFARES",
        "first_name": "SAMIA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-10",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9334612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.