Active NPI
Samia Boufares, APRN
- Family Nurse Practitioner
- Spring Hill, FL
National Provider Identifier
1639626351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9334612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9334612 | FL | MD | Family 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.