Individual provider Active NPI

Rebelee Christy Jeyasingh, ARNP

  • Adult Health Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1427300474
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APPLIED Issued in FL
Practice address
3157 N University Dr Ste 107
Hollywood, FL 33024-2258
Phone
(954) 990-0595
Fax
(954) 990-0596
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APPLIED FL Primary

Addresses

Primary practice location

3157 N University Dr Ste 107
Hollywood, FL 33024-2258

Mailing address

3107 Stirling Road
Suite 103
Hollywood, FL 33312
Phone (954) 990-0595

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjeyasingh@mhs.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000065 FL Practitioner - Nurse Practitioner 3870744279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

3702 Washington St
Suite 303
Hollywood, FL 33021-8287
Phone (954) 518-2424

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APPLIEDFLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Sep 1, 2022 Accepting new patients
South Broward Hospital District CurrentSince Sep 1, 2022 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3702 Washington St
Ste 303
Hollywood, FL 33021
Phone (954) 265-8326

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1427300474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 STIRLING ROAD",
            "address_2": "SUITE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-990-0595",
            "fax_number": "954-990-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR STE 107",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "954-990-0595",
            "fax_number": "954-990-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEYASINGH",
        "first_name": "REBELEE",
        "middle_name": "CHRISTY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APPLIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjeyasingh@mhs.net",
            "affiliation": "N",
            "address_1": "3157 N University Dr Ste 107",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330242258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.