JANIE BOULWARE — NPI 1306858600 (Licensed & Credentialed Day Training/Habilitation Specialist in MACCLENNY, FL)

CMS-1500 Box 24J / 33a • NPI

1306858600

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

373H00000X

Licensed & Credentialed Day Training/Habilitation Specialist

Box 32 Service Location & ZIP+4

706 SHORTPUTT DR, MACCLENNY, FL, 32063-4319

✓ 9-Digit EDI 837 ZIP+4 (32063-4319)

Practice Phone & Referral Fax

(904) 265-0340

Fax: (904) 265-1906

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306858600 (JANIE BOULWARE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306858600` (NPI-1 Individual Practitioner)
Provider / Legal Name	JANIE BOULWARE
Plain-English Specialty	Licensed & Credentialed Day Training/Habilitation Specialist NUCC Code: `373H00000X` (Day Training/Habilitation Specialist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	706 SHORTPUTT DR, MACCLENNY, FL, 32063-4319
Practice Telephone / Fax	Tel: (904) 265-0340 \| Fax: (904) 265-1906
Administrative Mailing Address	706 SHORTPUTT DR, MACCLENNY, FL, 32063-4319
Enumeration & Last Sync	Enumerated: 2006-08-13 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

706 SHORTPUTT DR, MACCLENNY, FL, 32063-4319

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Plain-English Taxonomy & CMS Crosswalk (373H00000X)

What Does Taxonomy Code 373H00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 373H00000X translates to:
"Licensed & Credentialed Day Training/Habilitation Specialist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Day Training/Habilitation Specialist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JANIE BOULWARE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`373H00000X` — Day Training/Habilitation Specialist Plain English: Licensed & Credentialed Day Training/Habilitation Specialist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JANIE BOULWARE (NPI #1306858600)