Individual provider Active NPI

Jessica Vallori, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1023875879
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118541 Issued in FL
Practice address
8940 N Kendall Dr Ste 400E
Miami, FL 33176-2175
Phone
(305) 598-2020
Fax
(786) 433-3806
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118541 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr Ste 400E
Miami, FL 33176-2175

Mailing address

8940 N Kendall Dr Ste 400E
Miami, FL 33176-2175
Phone (305) 598-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702001432 FL Practitioner - Physician Assistant 3274973714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida International Univ, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Excellence in Eyecare PAGroup PAC ID 0345269148, 17 clinicians

Practice addresses (Care Compare)

8940 N Kendall Dr
Suite 400E
Miami, FL 33176-2175
Phone (305) 598-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9118541FLMDPhysician Assistant

Organizations & group practices 1

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1023875879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 400E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762175",
            "telephone_number": "305-598-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 400E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762175",
            "telephone_number": "305-598-2020",
            "fax_number": "786-433-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLORI",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.