Individual provider Active NPI

Jana Kimberly Rasmussen, M.D.

  • Plastic Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1376554238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME0051007 Issued in FL
Practice address
1717 N Flagler Dr
Suite 1
West Palm Beach, FL 33407-6555
Phone
(561) 833-6688
Fax
(561) 655-3609
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME0051007 FL Primary

Addresses

Primary practice location

1717 N Flagler Dr
Suite 1
West Palm Beach, FL 33407-6555

Mailing address

1717 N Flagler Dr
Suite 1
West Palm Beach, FL 33407-6555
Phone (561) 833-6688

Other names 1

  • Mrs. Jana Kimberly Nichols Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2014 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0051007FLMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376554238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076555",
            "telephone_number": "561-833-6688",
            "fax_number": "561-655-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076555",
            "telephone_number": "561-833-6688",
            "fax_number": "561-655-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "JANA",
        "middle_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0051007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "NICHOLS",
            "middle_name": "KIMBERLY",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.