Active NPI
Sandra Jayussi, ARNP
- Adult Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1265917124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9391238
- Practice address
- 11081 SW 57TH St
Miami, FL 33173-1101 - Phone
- (305) 351-6485
- NPI assigned
- Sep 26, 2018
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 38189 | TN | |
| Adult Health Nurse Practitioner | 363LA2200X | 1189532 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 3-002192 | AL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.0038127 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | 9391238 | FL | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 2025002427 | MO | |
| Acute Care Nurse Practitioner | 363LA2100X | SP032632 | PA | |
| Acute Care Nurse Practitioner | 363LA2100X | 209032598 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 907193 | MS | |
| Adult Health Nurse Practitioner | 363LA2200X | 319406 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | 14252877-4405 | UT | |
| Adult Health Nurse Practitioner | 363LA2200X | 5021511 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 232385 | AR | |
| Adult Health Nurse Practitioner | 363LA2200X | 71016666A | IN | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN9391238 | FL |
Addresses
Primary practice location
11081 SW 57TH St
Miami, FL 33173-1101
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone (866) 849-0692
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN9391238 | Other | FL | FL RN LICENSE |
| APRN9391238 | Other | FL | FL NP LICENSE |
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 |
|---|---|---|---|
| 3-002192 | AL | MD | Acute Care Nurse Practitioner |
| 209032598 | IL | MD | Acute Care Nurse Practitioner |
| 2025002427 | MO | MD | Acute Care Nurse Practitioner |
| SP032632 | PA | MD | Acute Care Nurse Practitioner |
| 38189 | TN | MD | Acute Care Nurse Practitioner |
| 232385 | AR | MD | Adult Health Nurse Practitioner |
| 319406 | AZ | MD | Adult Health Nurse Practitioner |
| 9391238 | FL | MD | Adult Health Nurse Practitioner |
| 71016666A | IN | MD | Adult Health Nurse Practitioner |
| 907193 | MS | MD | Adult Health Nurse Practitioner |
| 5021511 | NC | MD | Adult Health Nurse Practitioner |
| APRN.CNP.0038127 | OH | MD | Adult Health Nurse Practitioner |
| 1189532 | TX | MD | Adult Health Nurse Practitioner |
| 14252877-4405 | UT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devoted Medical Group Professional Corporation | Current | Accepting new patients |
Locations
880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612
221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611
Organizations & group practices 1
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 Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1265917124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11081 SW 57TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731101",
"telephone_number": "305-351-6485"
}
],
"practiceLocations": [
{
"address_1": "880 SW 145th Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330276171",
"country_code": "US",
"telephone_number": "866-849-0692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAYUSSI",
"first_name": "SANDRA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "38189",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1189532",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "3-002192",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.0038127",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9391238",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2025002427",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP032632",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209032598",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MS",
"license": "907193",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "319406",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "UT",
"license": "14252877-4405",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5021511",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AR",
"license": "232385",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71016666A",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN9391238",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL RN LICENSE",
"identifier": "RN9391238",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL NP LICENSE",
"identifier": "APRN9391238",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.