Individual provider Active NPI

Ruba Sheikh-Ali

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1689341729
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34189 Issued in FL
Practice address
12311 Kensington Lakes Dr Unit 1604
Jacksonville, FL 32246-7197
Phone
(904) 859-5728
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 34189 FL Primary

Addresses

Primary practice location

12311 Kensington Lakes Dr Unit 1604
Jacksonville, FL 32246-7197

Mailing address

12311 Kensington Lakes Dr Unit 1604
Jacksonville, FL 32246-7197
Phone (904) 859-5728

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34189FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1689341729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 KENSINGTON LAKES DR UNIT 1604",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467197",
            "telephone_number": "904-859-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 KENSINGTON LAKES DR UNIT 1604",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467197",
            "telephone_number": "904-859-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH-ALI",
        "first_name": "RUBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "34189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.