Active NPI
Jennifer Anne West, PA-C
- Physician Assistant
- Orlando, FL
National Provider Identifier
1386949733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107667
- Practice address
- 100 W Gore St
Orlando, FL 32806-1044 - Phone
- (407) 426-9299
- Fax
- (407) 426-9290
- NPI assigned
- Jan 17, 2011
- Last updated
- Jan 20, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0764 | SD | |
| Medical Physician Assistant | 363AM0700X | PA9107667 | FL | |
| Physician Assistant | 363A00000X | PA9107667 | FL | Primary |
Addresses
Primary practice location
100 W Gore St
Orlando, FL 32806-1044
Mailing address
100 W Gore St
Orlando, FL 32806-1044
Phone (407) 426-9299
Other names 1
- Jennifer Anne Thielen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0764 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Carenow Urgent Care LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Winter Springs, FL
- NPI 1205389905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1386949733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061044",
"telephone_number": "407-426-9299",
"fax_number": "407-426-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061044",
"telephone_number": "407-426-9299",
"fax_number": "407-426-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-17",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0764",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9107667",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "THIELEN",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.