Portia F Boatwright Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

PORTIA F BOATWRIGHT INC

Practice address

2225 SW Newport Isles Blvd
Port St Lucie, FL 34953-4575

Phone

(561) 633-0104

Fax

(888) 411-5724

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Portia Fierra Williams, APRN

Title

President

Phone

(561) 633-0104

Specialties & licenses 1

Addresses

Other names 1

• Simple Choice Healthcare Doing business as

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1811580996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 SW NEWPORT ISLES BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534575",
            "telephone_number": "561-633-0104",
            "fax_number": "888-411-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SW NEWPORT ISLES BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534575",
            "telephone_number": "561-633-0104",
            "fax_number": "888-411-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTIA F BOATWRIGHT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_middle_name": "FIERRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-633-0104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simple Choice Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simple Choice Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Health Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.