Natalys C Boddu

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN11033193 Issued in FL

Practice address

9330 NW 25TH St
Doral, FL 33172-1504

Phone

(786) 213-1049

NPI assigned

Jun 6, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1902647449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SW 12TH ST APT 3106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331305210",
            "telephone_number": "786-213-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 NW 25TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721504",
            "telephone_number": "786-213-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDU",
        "first_name": "NATALYS",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11033193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Blumtritt, LMHC
• Diana K Blythe
• Bma Health, PA
• BMS Therapy Inc
• Christopher Bob
• Body & Mind Telehealth LLC
• Body Harmony Center of Florida
• Livet Boffil, DMD
• Martha Bofill, PSY.D.
• Yolanda Bogarin, OD PA

• Acute Care Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.