Individual provider Active NPI

Janet Rae Cole, PA-C

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1699076877
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113311 Issued in FL
Practice address
3018 53Rd Ave E
Bradenton, FL 34203-3420
Phone
(941) 348-2760
Fax
(941) 348-2761
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00246800 NJ
Physician Assistant 363A00000X PA9113311 FL Primary

Addresses

Primary practice location

3018 53Rd Ave E
Bradenton, FL 34203-3420

Mailing address

3018 53Rd Ave E
Bradenton, FL 34203
Phone (941) 348-2760

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
I20200810002895 FL Practitioner - Physician Assistant 4880877257 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primehealth Urgent Care LLC CurrentSince Dec 1, 2021 Accepting new patients
Primehealth Urgent Care LLC CurrentSince Dec 1, 2021 Accepting new patients
Saint George Medical Center Inc Current Accepting new patients

Locations

3018 53rd Ave E
Bradenton, FL 34203
Phone (941) 260-2326

8927 US Highway 301 N
#210
Parrish, FL 34219
Phone (941) 845-4621

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15324/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1699076877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34203",
            "telephone_number": "941-348-2760",
            "fax_number": "941-348-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033420",
            "telephone_number": "941-348-2760",
            "fax_number": "941-348-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JANET",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2022-03-28",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00246800",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.