Active NPI
Jessica Bastos Oliveira, MSPA, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1649465857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109706
- Practice address
- 11200 SW 8 Street
Green Library, Room 475
Miami, FL 33199-3319 - Phone
- (917) 495-1632
- Fax
- (917) 495-1632
- NPI assigned
- Sep 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0119001 | NY | |
| Physician Assistant | 363A00000X | PA9109706 | FL | Primary |
Addresses
Primary practice location
11200 SW 8 Street
Green Library, Room 475
Miami, FL 33199-3319
Mailing address
7421 SW 163Rd CT
Miami, FL 33193-4422
Phone (917) 495-1632
Other practice location 1
800 SW 108th Ave
Miami, FL 33174-2555
Phone (917) 495-1632
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 |
|---|---|---|---|
| 0119001 | NY | MD | Physician Assistant |
Interoperability endpoints
- jessica.oliveira.1@27920.direct.athenahealth.com
- jessica.oliveira.1@14931.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649465857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 SW 163RD CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331934422",
"telephone_number": "917-495-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SW 8 STREET",
"address_2": "GREEN LIBRARY, ROOM 475",
"city": "MIAMI",
"state": "FL",
"postal_code": "331993319",
"telephone_number": "917-495-1632",
"fax_number": "917-495-1632"
}
],
"practiceLocations": [
{
"address_1": "800 SW 108th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331742555",
"country_code": "US",
"telephone_number": "917-495-1632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVEIRA",
"first_name": "JESSICA",
"middle_name": "BASTOS",
"credential": "MSPA, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0119001",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.