Elizabeth Jahjah

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9238856 Issued in FL

Practice address

1205 Monument Rd Ste 203
Jacksonville, FL 32225-6482

Phone

(904) 727-5120

Fax

(904) 727-5129

NPI assigned

Jan 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Primary Plus Occupational Health Care Inc

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1417543331
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144767971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12243 RIDGE FOREST LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469336",
            "telephone_number": "954-608-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MONUMENT RD STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256482",
            "telephone_number": "904-727-5120",
            "fax_number": "904-727-5129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12243 Ridge Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322469336",
            "country_code": "US",
            "telephone_number": "954-608-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHJAH",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9238856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Jagger, AU.D.
• Lindsay Marie Jaghab, APRN, FNP-C
• Djordje Jagodic, PA
• Sarah Ashley Jagodnik
• Alireza Jahan-Mihan, PHD. RDN.
• Nezar Jahjah, PHARM.D.
• Jai Maruti RX LLC
• Jai Maruti RX LLC
• Vishal Jaikaransingh, M.D.
• Jaime Marra, PHD, LLC

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.