Individual provider Active NPI

Jessica Ann Parker, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1669717716
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110329 Issued in FL
Practice address
701 6TH St S
St Petersburg, FL 33701-4814
Phone
(727) 823-1234
NPI assigned
Nov 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055826 PA
Physician Assistant 363A00000X PA9110329 FL Primary

Addresses

Primary practice location

701 6TH St S
St Petersburg, FL 33701-4814

Mailing address

603 7TH St S Ste 360
St Petersburg, FL 33701-4732
Phone (727) 553-7300

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
I20170831003277 FL Practitioner - Physician Assistant 4385897024 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians
Memon Health Associates, LLCGroup PAC ID 7416257860, 9 clinicians

Practice addresses (Care Compare)

10500 Ulmerton Rd
Suite 202
Largo, FL 33771-3544
Phone (727) 518-2273

1236 Kingsway Rd
Brandon, FL 33510-2514
Phone (813) 616-8810

1838 Rye Rd
Suite 107
Bradenton, FL 34212-9038
Phone (941) 462-2004

26812 US Hwy 19 N
Clearwater, FL 33761-3405
Phone (727) 799-2727

3030 4TH St N
Saint Petersburg, FL 33704-2105
Phone (727) 610-3660

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

5616 Tuscola Blvd
North Port, FL 34287-2738
Phone (941) 240-6273

7321 Park Blvd N
Pinellas Park, FL 33781-2922
Phone (727) 306-1844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Feb 22, 2020 Accepting new patients
MD Now Medical Centers Inc Current Accepting new patients
Memon Health Associates, LLC CurrentSince Feb 25, 2026 Accepting new patients
Emergency Physicians of Crossroads CurrentSince May 7, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Feb 22, 2020 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Feb 22, 2020 Accepting new patients
American Sole Emergency Physicians LLC Physician Assistant Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

1236 Kingsway Rd
Brandon, FL 33510
Phone (813) 616-8810

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

603 7th St S
Ste 360
St Petersburg, FL 33701
Phone (727) 553-7300

12950 Race Track Rd
Ste 106
Tampa, FL 33626
Phone (813) 616-8810

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12589/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1669717716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 360",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014732",
            "telephone_number": "727-553-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-823-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055826",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.