Individual provider Active NPI

Jessica Guiliano, MMS, PA-C

  • Physician Assistant
  • Royal Palm Beach, FL
National Provider Identifier
1124420435
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108238 Issued in FL
Practice address
460 N State Road 7 Ste 300
Royal Palm Beach, FL 33411-3514
Phone
(561) 798-6600
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 PA9108238 FL Primary

Addresses

Primary practice location

460 N State Road 7 Ste 300
Royal Palm Beach, FL 33411-3514

Mailing address

440 N State Road 7
Royal Palm Beach, FL 33411-3504

Other practice location 1

1100 S Main St Ste 101
Belle Glade, FL 33430-4910
Phone (561) 798-6600

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
I20141110002122 FL Practitioner - Physician Assistant 6800018748 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Sep 15, 2014 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Sep 15, 2014 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients

Locations

1100 S Main St
Ste 101
Belle Glade, FL 33430
Phone (561) 719-4598

460 N State Road 7
Ste 300
Royal Palm Beach, FL 33411
Phone (561) 792-7178

440 N State Road 7
Ste 107
Royal Palm Beach, FL 33411
Phone (561) 795-8655

440 N State Road 7
Ste A
Royal Palm Beach, FL 33411
Phone (561) 784-7329

440 N State Road 7
Ste B
Royal Palm Beach, FL 33411

440 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 209-6083

440 N State Road 7
Ste D
Royal Palm Beach, FL 33411

10111 Forest Hill Blvd
Rm 151
Wellington, FL 33414

10131 Forest Hill Blvd
Ste 230
West Palm Beach, FL 33414

Interoperability endpoints

  • Direct secure messaging: jessica.guiliano.1@22724.direct.athenahealth.com

Organizations & group practices 4

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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1124420435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N STATE ROAD 7",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N STATE ROAD 7 STE 300",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113514",
            "telephone_number": "561-798-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Belle Glade",
            "state": "FL",
            "postal_code": "334304910",
            "country_code": "US",
            "telephone_number": "561-798-6600",
            "fax_number": "561-758-3328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILIANO",
        "first_name": "JESSICA",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.