Active NPI
Jenny Patricia Despujos Sr., APRN
- Family Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1609608686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11034745
- Practice address
- 131 S Federal Hwy Apt 432
Boca Raton, FL 33432-4951 - Phone
- (786) 651-1058
- NPI assigned
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11034745 | FL | Primary |
Addresses
Primary practice location
131 S Federal Hwy Apt 432
Boca Raton, FL 33432-4951
Mailing address
131 S Federal Hwy Apt 432
Boca Raton, FL 33432-4951
Phone (786) 651-1058
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11034745 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | Accepting new patients |
Locations
880 NW 13th St
Ste 300
Boca Raton, FL 33486
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855
Interoperability endpoints
- jenny.despujos@wwmp.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Doral, FL
- NPI 1396124046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1609608686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 S FEDERAL HWY APT 432",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334324951",
"telephone_number": "786-651-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 S FEDERAL HWY APT 432",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334324951",
"telephone_number": "786-651-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESPUJOS",
"first_name": "JENNY",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"name_suffix": "Sr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11034745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.