Shirley Pubien, RDCS

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

122309 Issued in FL

Practice address

5015 Hollywood Blvd
Hollywood, FL 33021-6515

Phone

(305) 434-0570

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sonolife Care LLC

  • Diagnostic Ultrasound Physician
  • Hollywood, FL
  • NPI 1649946948
  NPD Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1780261081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NE MIAMI GARDENS DR # 408",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035",
            "telephone_number": "305-434-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216515",
            "telephone_number": "305-434-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUBIEN",
        "first_name": "SHIRLEY",
        "credential": "RDCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "FL",
            "license": "122309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pacs.ndximaging.com",
            "affiliation": "N",
            "address_1": "5015 Hollywood Blvd",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Psychological Solutions PA
• Psychology Associates PA
• Psychology Support Center
• Psynchrony, Inc
• Amy Ptalis, LMFT
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets Inc

• Sonography Specialist/Technologist Cardiovascular in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Sonography Specialist/Technologist Cardiovascular in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.