Individual provider Active NPI

Laura Antonia Jaramillo, PA

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1144043043
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119503 Issued in FL
Practice address
5310 Clark Rd Ste 106
Sarasota, FL 34233-3228
Phone
(941) 921-0400
Fax
(941) 870-1628
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 PA9119503 FL Primary

Addresses

Primary practice location

5310 Clark Rd Ste 106
Sarasota, FL 34233-3228

Mailing address

5310 Clark Rd Ste 106
Sarasota, FL 34233-3228
Phone (941) 921-0400

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 Cattlemen Rd
Unit 1402
Sarasota, FL 34232-6215

5310 Clark Rd
Suite 106
Sarasota, FL 34233-3228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9119503FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Eye & Surgical Arts LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

5310 Clark Rd
Ste 106
Sarasota, FL 34233
Phone (941) 921-0400

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1144043043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 CLARK RD STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333228",
            "telephone_number": "941-921-0400",
            "fax_number": "941-870-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 CLARK RD STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333228",
            "telephone_number": "941-921-0400",
            "fax_number": "941-870-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "LAURA",
        "middle_name": "ANTONIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.