Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shawniece Devon Boss, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1629463401

Dr. Shawniece Devon Boss, DPM is a Podiatry in St Petersburg, Florida. Qualified in 2015, 11 years ago. Practices with Beaton Podiatry Center Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6707 38th Ave N
St Petersburg, FL 33710-1536
Phone: (727) 800-9958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO4090 (FL)

Record details

NPI number1629463401
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address6707 38th Ave N, St Petersburg, FL 33710-1536

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Beaton Podiatry Center Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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