Jasmine Michelle Taborn

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110008396 Issued in VA

Practice address

700 24TH St
Fort Gregg Adams, VA 23801-1716

Phone

(804) 734-9967

Fax

(877) 874-1008

NPI assigned

Dec 5, 2021

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

Other names 1

• Jasmine Michelle Valentine Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Colonial Internal Medicine Associates PC

  • Internal Medicine Physician
  • Fredericksburg, VA
  • NPI 1346260940
  Medicare reassignment

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

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1174281380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT GREGG ADAMS",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9967",
            "fax_number": "804-734-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT GREGG ADAMS",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9967",
            "fax_number": "877-874-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABORN",
        "first_name": "JASMINE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-05",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "VALENTINE",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sage and Blossom Counseling, PLLC
• Tanya J Satterwhite, FNP, PMHNP
• Kristianne Norma Sinclair, DDS
• Solelytics LLC
• Aaron Edwards Spera, PA-C
• Sarah Valentine
• Nam Thanh Vo, DMD
• Zshakrira Washington
• Lukas Weishaar, DPT
• Stephanie Whetstone

• Physician Assistant in Fort Gregg Adams, VA
• Providers in Fort Gregg Adams, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.

Verify at the official NPI Registry.