Individual provider Active NPI

Rajshree Shah, MSN

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1760034136
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002662 Issued in FL
Practice address
9639 Phipps LN
Wellington, FL 33414-3405
Phone
(561) 313-3174
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 11002662 FL Primary

Addresses

Primary practice location

9639 Phipps LN
Wellington, FL 33414-3405

Mailing address

9639 Phipps LN
Wellington, FL 33414-3405
Phone (561) 313-3174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812002108 FL Practitioner - Nurse Practitioner 9032513080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Critical Care and SleepGroup PAC ID 1658610910, 19 clinicians

Practice addresses (Care Compare)

5401 S Congress Ave
Suite 204
Atlantis, FL 33462-6637
Phone (561) 967-4118

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
11002662FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care and Sleep CurrentSince Sep 1, 2021 Accepting new patients

Locations

5401 S Congress Ave
Ste 204
Lake Worth, FL 33462
Phone (561) 967-4118

10115 Forest Hill Blvd
Ste 200
Wellington, FL 33414
Phone (561) 793-5155

10131 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33414
Phone (561) 798-4455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEEBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1760034136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9639 PHIPPS LN",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143405",
            "telephone_number": "561-313-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9639 PHIPPS LN",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143405",
            "telephone_number": "561-313-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAJSHREE",
        "name_prefix": "Ms.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.