Rashida Natacha Joemmankhan, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102718 Issued in FL

Practice address

5067 N Dixie Hwy
Oakland Park, FL 33334-4000

Phone

(954) 267-1621

Fax

(954) 267-1625

NPI assigned

Nov 15, 2006

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Em-I Medical Services, PA

  • Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1316764988

  Physician Assistant

  Medicare reassignment NPD
• Inphynet South Broward LLC

  • Emergency Medicine Physician
  • Hollywood, FL
  • NPI 1871521880
  Medicare reassignment
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Coral Springs, FL
  • NPI 1871542969
  Medicare reassignment
• After Hours Pediatrics, Inc.

  • Clinic/Center
  • Oakland Park, FL
  • NPI 1841968799
  NPD
• Florida Em-I Medical Services, PA

  • Nurse Practitioner
  • Coral Springs, FL
  • NPI 1336966910

  Physician Assistant

  NPD
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Deerfield Beach, FL
  • NPI 1407805591
  NPD
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1992708887
  NPD
• After Hours Pediatrics, Inc.

  • Clinic/Center
  • Tampa, FL
  • NPI 1992746879
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1205908068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SW 15TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127232",
            "telephone_number": "305-321-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344000",
            "telephone_number": "954-267-1621",
            "fax_number": "954-267-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOEMMANKHAN",
        "first_name": "RASHIDA",
        "middle_name": "NATACHA",
        "credential": "P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102718",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "PA9102718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carol Johnson, TT
• Richard Johnson, MD
• John R. Jones, M.D.
• Sara Jones, LCSW

• Physician Assistant in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.