Active NPI
Jude Tabba
- Student in an Organized Health Care Education/Training Program
- Hallandale Beach, FL
National Provider Identifier
1003493073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 701 N Federal Hwy Ste 601
Hallandale Beach, FL 33009-2467 - Phone
- (954) 482-4747
- Fax
- (954) 301-5939
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
701 N Federal Hwy Ste 601
Hallandale Beach, FL 33009-2467
Mailing address
701 N Federal Hwy Ste 601
Hallandale Beach, FL 33009-2467
Phone (954) 482-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- jude.tabba.p1@direct.mmc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1003493073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N FEDERAL HWY STE 601",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092467",
"telephone_number": "954-482-4747",
"fax_number": "954-301-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N FEDERAL HWY STE 601",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092467",
"telephone_number": "954-482-4747",
"fax_number": "954-301-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABBA",
"first_name": "JUDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.