Individual provider Active NPI

Shulamit C Bossewitch, RNC, MSN, WHNP

  • Women's Health Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1750498960
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN9352811 Issued in FL
Practice address
3400 Pine Tree Dr
Miami Beach, FL 33140-3931
Phone
(917) 250-6432
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 260036 MA
Women's Health Nurse Practitioner 363LW0102X APRN9352811 FL Primary

Addresses

Primary practice location

3400 Pine Tree Dr
Miami Beach, FL 33140-3931

Mailing address

3400 Pine Tree Dr
Miami Beach, FL 33140-3931
Phone (917) 250-6432

Other practice location 1

1101 Beacon St
Suite 2 West
Brookline, MA 02446-5587
Phone (617) 731-6333

Other names 1

  • Shulamit C Bossewitch Former name

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
260036MAMDDiagnostic Radiology Physician
APRN9352811FLMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1750498960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PINE TREE DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403931",
            "telephone_number": "917-250-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PINE TREE DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403931",
            "telephone_number": "917-250-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Beacon St",
            "address_2": "Suite 2 West",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465587",
            "country_code": "US",
            "telephone_number": "617-731-6333",
            "fax_number": "617-566-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSEWITCH",
        "first_name": "SHULAMIT",
        "middle_name": "C",
        "credential": "RNC, MSN, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "260036",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9352811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHULAMIT",
            "last_name": "BOSSEWITCH",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.