Berenice B Jaramillo, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111737 Issued in FL

Practice address

5432 Bee Ridge Rd Ste 140
Sarasota, FL 34233-1512

Phone

(941) 371-2244

Fax

(941) 371-1144

NPI assigned

Aug 16, 2018

Last updated

Sep 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Global Physician Network LLC Series II

  • Emergency Medicine Physician
  • Sarasota, FL
  • NPI 1821518028
  Medicare reassignment
• Roger Shea ,M.D. ,Inc.

  • Otolaryngology Physician
  • Sarasota, FL
  • NPI 1861406019
  Medicare reassignment

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1689154940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 BUCIDA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342325443",
            "telephone_number": "941-586-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 BEE RIDGE RD STE 140",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331512",
            "telephone_number": "941-371-2244",
            "fax_number": "941-371-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393509",
            "country_code": "US",
            "telephone_number": "941-917-7408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "BERENICE",
        "middle_name": "B",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "VOOOL",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105002100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Timothy Jank
• Kathryn E. Jann, PH.D., BCBA-D
• Shari Streit Jansen, L.M.H.C.
• Walter Charles Janson Jr., DMD
• Lauren Jaramillo Eskew
• Carmen Guadalupe Jaramillo, DO
• Laura Antonia Jaramillo, PA
• Dianne M Jardno, M.D.
• Fredric Jarrett, M.D.,
• Haley Jarrett, DPT

• Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.

Verify at the official NPI Registry.