Active NPI
Jessica Sequeira, APRN
- Family Nurse Practitioner
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11010117
- Practice address
- 1447 Medical Park Blvd Ste 208
Wellington, FL 33414-3183 - Phone
- (561) 753-7571
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11010117 | FL | Primary |
Addresses
Primary practice location
1447 Medical Park Blvd Ste 208
Wellington, FL 33414-3183
Mailing address
1447 Medical Park Blvd Ste 208
Wellington, FL 33414-3183
Phone (561) 753-7571
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010117 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Hospital Innovations LLC | Current | Accepting new patients | |
| Health Testing Solutions, Inc. | Current | Accepting new patients | |
| Elite Medical Services at Lakeside LLC | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
241 SE 1st St
Belle Glade, FL 33430
Phone (561) 464-5500
39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
Interoperability endpoints
- jsequeira279422@mhsdirect.net
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Belle Glade, FL
- NPI 1992216568
-
- Emergency Medicine Physician
- Clewiston, FL
- NPI 1184040560
-
- Multi-Specialty Clinic/Center
- Belle Glade, FL
- NPI 1407566219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1194327643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 MEDICAL PARK BLVD STE 208",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143183",
"telephone_number": "561-753-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 MEDICAL PARK BLVD STE 208",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143183",
"telephone_number": "561-753-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEQUEIRA",
"first_name": "JESSICA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11010117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.