Individual provider Active NPI

Giselle Valladares, ARNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Boca Raton, FL
National Provider Identifier
1841699659
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
ARNP 9202834 Issued in FL
Practice address
5301 N Federal Hwy
Suite 270
Boca Raton, FL 33487-4917
Phone
(561) 910-1251
Fax
(561) 910-1047
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X ARNP 9202834 FL Primary
Family Nurse Practitioner 363LF0000X ARNP 9202834 FL

Addresses

Primary practice location

5301 N Federal Hwy
Suite 270
Boca Raton, FL 33487-4917

Mailing address

5301 N Federal Hwy
Suite 270
Boca Raton, FL 33487-4917
Phone (561) 910-1251

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
I20160917000145 FL Practitioner - Nurse Practitioner 5597796003 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9202834FLMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Feb 1, 2022 Accepting new patients
Carma Health PA CurrentSince May 2, 2024 Accepting new patients
Recovery by the Sea Past Accepting new patients
Carma Health Virginia LLC Past Accepting new patients

Locations

10100 W Sample Rd
Ste 316
Coral Springs, FL 33065
Phone (512) 212-4670

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

630 W 34th St
Ste 301
Austin, TX 78705
Phone (512) 212-4670

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1841699659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 N FEDERAL HWY",
            "address_2": "SUITE 270",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874917",
            "telephone_number": "561-910-1251",
            "fax_number": "561-910-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 N FEDERAL HWY",
            "address_2": "SUITE 270",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874917",
            "telephone_number": "561-910-1251",
            "fax_number": "561-910-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "GISELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 9202834",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9202834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.