Individual provider Active NPI

Jocelyne Monperousse

  • Personal Care Attendant
  • Valrico, FL
National Provider Identifier
1083170229
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
003517300 Issued in FL
Practice address
1513 Carter Oaks Dr
Valrico, FL 33596-6120
Phone
(813) 523-0113
Fax
(813) 655-2942
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 003517300 FL Primary

Addresses

Primary practice location

1513 Carter Oaks Dr
Valrico, FL 33596-6120

Mailing address

1513 Carter Oaks Dr
Valrico, FL 33596-6120
Phone (813) 523-0113

Other identifiers 1

IdentifierTypeStateIssuer
003517300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003517300FLMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1083170229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 CARTER OAKS DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966120",
            "telephone_number": "813-523-0113",
            "fax_number": "813-655-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 CARTER OAKS DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966120",
            "telephone_number": "813-523-0113",
            "fax_number": "813-655-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONPEROUSSE",
        "first_name": "JOCELYNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "003517300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003517300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.