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

Individual provider Gerontology Nurse Practitioner · NPI 1841739018

Shannon Boodhwani, AGNP-C is a Nurse Practitioner in Naples, Florida. Qualified in 2016, 10 years ago. Practices with The Moorings Incorporated, a 123-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
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Practice location Address checks out

2450 Goodlette-Frank Rd N Ste 101
Naples, FL 34103-4595
Phone: (239) 624-8470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11018802 (FL)

Record details

NPI number1841739018
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2017
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Moorings Incorporated — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Naples