Active NPI
Tashan A Jones, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9106564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System/ Sunbelt, Inc. | Current | Accepting new patients | |
| Adventist Health System/Sunbelt, Inc. | Current | Accepting new patients | |
| Urgent Care Centers of Brevard County LLC | Current | Accepting new patients | |
| Urgent Care Centers of Brevard County LLC | Current | Accepting new patients | |
| Platinum Peaks Healthcare PC | Current | Accepting new patients | |
| Devoted Medical Group Professional Corporation | Past | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Tacoma, WA
- NPI 1821982893
AK
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
-
- Cardiovascular Disease Physician
- Palatka, FL
- NPI 1023029154
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1295367290
-
- Nephrology Physician
- Tacoma, WA
- NPI 1285406249
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
-
- Urgent Care Clinic/Center
- Sanford, FL
- NPI 1437346442
-
- Urgent Care Clinic/Center
- Malabar, FL
- NPI 1417589771
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.