Jessica Dianne Niles, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11015206 Issued in FL

Practice address

1500 NW 10TH Ave
Boca Raton, FL 33486-1312

Phone

(561) 391-2708

NPI assigned

Mar 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boca General & Family Medicine PA

  • Family Medicine Physician
  • Boca Raton, FL
  • NPI 1073724191

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1770160756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S OCEAN BLVD APT 804",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330626999",
            "telephone_number": "954-798-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-391-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "JESSICA",
        "middle_name": "DIANNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "59519",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shlomo Nigri
• Nikanna's Trusted Home Care LLC.
• Oleg Nikolenko
• Sarah Nikpour
• Kamili Nilata
• Silvia Nilo, FNP-C
• Iris Nisanov
• Brittney Nisbett, SLP-A
• Nisha Bhatt Inc. (Little Champs Therapy & Yoga)
• Nisha Bhatt Inc. (Little Champs Therapy & Yoga)

• Family Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.