Individual provider Active NPI

Savi Jessica Jassan, CERTIFICATES

  • Hemodialysis Registered Nurse
  • Hollywood, FL
National Provider Identifier
1578909693
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hemodialysis Registered NurseTaxonomy code 163WH0500X
License
CERTIFICATE Issued in FL
Practice address
1901 Cleveland St Unit B
Hollywood, FL 33020-3133
Phone
(954) 274-4289
Fax
(954) 922-2710
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hemodialysis Registered Nurse 163WH0500X CERTIFICATE FL Primary

Addresses

Primary practice location

1901 Cleveland St Unit B
Hollywood, FL 33020-3133

Mailing address

1901 Cleveland St Unit B
Hollywood, FL 33020-3133
Phone (954) 274-4289

Other names 1

  • Jessica Jassan Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CERTIFICATEFLMDHemodialysis Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1578909693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CLEVELAND ST UNIT B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203133",
            "telephone_number": "954-274-4289",
            "fax_number": "954-922-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CLEVELAND ST UNIT B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203133",
            "telephone_number": "954-274-4289",
            "fax_number": "954-922-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSAN",
        "first_name": "SAVI",
        "middle_name": "JESSICA",
        "credential": "CERTIFICATES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "FL",
            "license": "CERTIFICATE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JASSAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.