Organization Active NPI

Bossy Aesthetics LLC

  • Primary Care Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1750198412
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BOSSY AESTHETICS LLC
Practice address
6811 Main St
Miami Lakes, FL 33014-2047
Phone
(786) 914-3362
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Juliete Misas Hernandez, ARNPNPI 1679281943
Title
Owner
Phone
(786) 447-0881

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6811 Main St
Miami Lakes, FL 33014-2047

Mailing address

6835 W 10TH Ave
Hialeah, FL 33014-5201

Other names 1

  • Bossy Wellness & Aesthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250506000955 FL Part B Supplier - Clinic/Group Practice 7911424734 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

6811 Main St
Miami Lakes, FL 33014
Phone (786) 914-3362

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": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1750198412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 W 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 MAIN ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142047",
            "telephone_number": "786-914-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSY AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MISAS HERNANDEZ",
        "authorized_official_first_name": "JULIETE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-447-0881",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bossy Wellness & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.