NPIMap

Organization Active NPI

Sherly Boulay

  • Health Service Clinic/Center
  • Miramar, FL
National Provider Identifier
1720456221
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SHERLY BOULAY
Practice address
15635 SW 52ND CT
Miramar, FL 33027-4982
Phone
(954) 815-7268
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Ms. Sherly Marie Boulay, FNP-CNPI 1851766737
Title
Arnp
Phone
(954) 815-7268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

15635 SW 52ND CT
Miramar, FL 33027-4982

Mailing address

15635 SW 52ND CT
Miramar, FL 33027-4982
Phone (954) 815-7268

National Provider Directory

National Provider Directory
Tax ID family
Spartanburg Regional72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1720456221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15635 SW 52ND CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274982",
            "telephone_number": "954-815-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15635 SW 52ND CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274982",
            "telephone_number": "954-815-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERLY BOULAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "BOULAY",
        "authorized_official_first_name": "SHERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "954-815-7268",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.