Individual provider Active NPI

Tashan A Jones, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Pembroke Pines, FL
National Provider Identifier
1710249545
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9106564 Issued in FL
Practice address
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 61675345 WA
Medical Physician Assistant 363AM0700X PA224672 OR
Medical Physician Assistant 363AM0700X PA9106564 FL Primary

Addresses

Primary practice location

880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

917 Pacific Ave Ste 600
Tacoma, WA 98402-4437
Phone (253) 844-4327

Other practice location 1

3020 S Union Ave
Tacoma, WA 98409-3317
Phone (253) 844-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, AK, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130918000326 FL Practitioner - Physician Assistant 8123262953 Reassigns benefits to 3 organizations
I20250429001954 WA Practitioner - Physician Assistant 8123262953 Reassigns benefits to 3 organizations
I20250619001473 AK Practitioner - Physician Assistant 8123262953 Reassigns benefits to 2 organizations
I20251015002724 OR Practitioner - Physician Assistant 8123262953 Reassigns benefits to 1 organization

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
Pacific Medical Specialty GroupGroup PAC ID 2365838364, 56 clinicians

Practice addresses (Care Compare)

3020 S Union Ave
Tacoma, WA 98409-3317
Phone (253) 844-4327

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Aug 10, 2020 Accepting new patients
Adventist Health System/Sunbelt, Inc. CurrentSince Aug 10, 2020 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Nov 1, 2020 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Nov 1, 2020 Accepting new patients
Platinum Peaks Healthcare PC CurrentSince Sep 9, 2025 Accepting new patients
Devoted Medical Group Professional Corporation PastSince Jun 10, 2022 Accepting new patients

Locations

821 N St
Ste 102
Anchorage, AK 99501
Phone (253) 844-4327

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

3020 S Union Ave
Tacoma, WA 98409
Phone (253) 844-4327

917 Pacific Ave
Ste 600
Tacoma, WA 98402
Phone (253) 232-7495

Organizations & group practices 11

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1710249545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PACIFIC AVE STE 600",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024437",
            "telephone_number": "253-844-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276171",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 S Union Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984093317",
            "country_code": "US",
            "telephone_number": "253-844-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TASHAN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "61675345",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA224672",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.