Individual provider Active NPI

Jessica Toti, CPNP-AC

  • Pediatric Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1265027387
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11011853 Issued in FL
Practice address
914 Ashworth Overlook Dr
Apopka, FL 32712-3353
Phone
(615) 403-1612
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN11011853 FL Primary

Addresses

Primary practice location

914 Ashworth Overlook Dr
Apopka, FL 32712-3353

Mailing address

986 Cobblestone Way Dr SE
Byron Center, MI 49315-6901
Phone (615) 403-1612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20210806001184 MI Practitioner - Nurse Practitioner 8820492200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11011853FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association CurrentSince Aug 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Aug 1, 2021 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

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.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1265027387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 COBBLESTONE WAY DR SE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493156901",
            "telephone_number": "615-403-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 ASHWORTH OVERLOOK DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123353",
            "telephone_number": "615-403-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTI",
        "first_name": "JESSICA",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11011853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.