Individual provider Active NPI

Jodi Karen Weinstein, A.R.N.P, C.S, PH.D

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1003051095
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1915142 Issued in FL
Practice address
4700 NW 2ND Ave Ste 101102
Boca Raton, FL 33431-4154
Phone
(561) 563-6262
Fax
(561) 223-2974
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 023477102 FL
Nurse Practitioner 363L00000X 1915142 FL Primary

Addresses

Primary practice location

4700 NW 2ND Ave Ste 101102
Boca Raton, FL 33431-4154

Mailing address

7301 W. Palmetto Park
Suite 203-a
Boca Raton, FL 33433
Phone (561) 391-2770

Other names 1

  • Jodi Karen Weinstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215000496 FL Practitioner - Nurse Practitioner 6406268515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1915142FLMDNurse Practitioner
023477102FLMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pirzada Psychiatric Services Inc CurrentSince Apr 25, 2021 Accepting new patients
Rome Psychiatry Past Accepting new patients

Locations

4700 NW 2nd Ave
Ste 101
Boca Raton, FL 33431
Phone (561) 563-6262

5645 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 345-5644

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1003051095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W. PALMETTO PARK",
            "address_2": "SUITE 203-A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-391-2770",
            "fax_number": "561-391-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NW 2ND AVE STE 101102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314154",
            "telephone_number": "561-563-6262",
            "fax_number": "561-223-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "JODI",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "A.R.N.P, C.S, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "FL",
            "license": "023477102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1915142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "WEINSTEIN",
            "middle_name": "KAREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.