Jessica Lynn Zalutko, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9111164 Issued in FL

Practice address

925 NE 30TH Ter Ste 308
Homestead, FL 33033-7614

Phone

(786) 670-9799

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jzalutko@directaddress.net

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1497240386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 8TH AVE APT 2840",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014053",
            "telephone_number": "908-242-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER STE 308",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337614",
            "telephone_number": "786-670-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALUTKO",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jessica.zalutko@luminarydermatology.com",
            "affiliation": "N",
            "address_1": "925 NE 30th Ter Ste 308",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330337614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelica Zabala
• Grether Esther Zaguirre Lorenzo
• Eliangela Zait
• Roger Abraham Zaldivar Gutierrez Sr., FNP-C
• Mirza Zaldivar
• Thayra Marie Zambrana-Nieves, PSYD
• Zambrano Pediatrics, Inc.
• Camilo Zambrano, MD
• Maria F Zambrano
• Mario D Zambrano, MD

• Physician Assistant in Homestead, FL
• Providers in Homestead, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.

Verify at the official NPI Registry.