Individual provider Active NPI

Jennifer Arizu, PA-C

  • Physician Assistant
  • Christiansted, VI
National Provider Identifier
1689085417
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Sunny Isle Shopp Ctr
Suite 301
Christiansted, VI 00820-4493
Phone
(340) 718-2665
NPI assigned
May 14, 2014
Last updated
May 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

Sunny Isle Shopp Ctr
Suite 301
Christiansted, VI 00820-4493

Mailing address

PO Box 5134
Kingshill, VI 00851-5134
Phone (340) 718-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20141015001122 VI Practitioner - Physician Assistant 1456572510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Orthopedics LLCGroup PAC ID 0749355469, 7 clinicians

Practice addresses (Care Compare)

4006 Estate Diamond
Suite 201
Christiansted, VI 00820-4534
Phone (340) 718-2665

9151 Estate Thomas
Suite 206
St. Thomas, VI 00802-2716
Phone (340) 779-2663

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic,LLC PastSince Aug 1, 2004 Accepting new patients
Liberty Medical Development, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1689085417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5134",
            "city": "KINGSHILL",
            "state": "VI",
            "postal_code": "008515134",
            "telephone_number": "340-718-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNNY ISLE SHOPP CTR",
            "address_2": "SUITE 301",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204493",
            "telephone_number": "340-718-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIZU",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.