Boutiq Medical Clinic LLC
NPI 1558947499 · Family Nurse Practitioner · Orlando, FL
Boutiq Medical Clinic LLC is a Family Nurse Practitioner organization in Orlando, FL (NPI 1558947499).
Provider details
- NPI number
- 1558947499
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Karen Buckalew, President/Owner(407) 777-2449
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-22
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Frequently asked questions
- What is Boutiq Medical Clinic LLC's NPI number?
- Boutiq Medical Clinic LLC's National Provider Identifier (NPI) is 1558947499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boutiq Medical Clinic LLC?
- Boutiq Medical Clinic LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Boutiq Medical Clinic LLC located?
- Boutiq Medical Clinic LLC's practice location on file with NPPES is 1430 N Mills Ave Ste 120, Orlando, FL 32803-1877.
- What is Boutiq Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Boutiq Medical Clinic LLC is (407) 777-2449.
- Who is the authorized official for Boutiq Medical Clinic LLC?
- The authorized official listed on Boutiq Medical Clinic LLC's NPPES record is Karen Buckalew, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boutiq Medical Clinic LLC's NPI active?
- Yes — Boutiq Medical Clinic LLC's NPI (1558947499) is active in the NPPES registry as of the last update on 2021-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.