Active NPI
Sheena L. Urdaz, PA-C
- Physician Assistant
- Jupiter, FL
National Provider Identifier
1083020408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9108922
- Practice address
- 1094 Military TRL
Jupiter, FL 33458-7021 - Phone
- (561) 622-6111
- Fax
- (855) 215-9930
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9108922 | FL | Primary |
Addresses
Primary practice location
1094 Military TRL
Jupiter, FL 33458-7021
Mailing address
PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (813) 536-7277
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9108922 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Good Health Medical Group PA | Past | Accepting new patients | |
| Candler Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- sheena.urdaz.1@28764.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Jacksonville, FL
- NPI 1932136314
-
dba LA Medical Associates
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1881804094
-
- Urgent Care Clinic/Center
- Wellington, FL
- NPI 1740501576
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1316970981
-
- Internal Medicine Physician
- Statesboro, GA
- NPI 1689893653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1083020408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850001, DEPT 8340",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328850001",
"telephone_number": "813-536-7277",
"fax_number": "855-830-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1094 MILITARY TRL",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587021",
"telephone_number": "561-622-6111",
"fax_number": "855-215-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URDAZ",
"first_name": "SHEENA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9108922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.