Individual provider Active NPI

Rachel Sammartano, PA

  • Physician Assistant
  • Tamarac, FL
National Provider Identifier
1710255633
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109346 Issued in FL
Practice address
7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985
Phone
(954) 771-7743
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 015374 NY
Physician Assistant 363A00000X PA9109346 FL Primary

Addresses

Primary practice location

7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other practice location 1

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

Other practice location 2

11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone (305) 279-5535

Other practice location 3

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832
Phone (305) 891-0050

Other practice location 4

1601 N Palm Ave Ste 211
Pembroke Pines, FL 33026-3204
Phone (954) 447-0010

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109346FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: rachel.mcnally@chs1.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1710255633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "786-235-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD STE 100",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "telephone_number": "954-771-7743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11430 N KENDALL DR STE 106",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "country_code": "US",
            "telephone_number": "305-279-5535",
            "fax_number": "305-279-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 NE 125TH ST STE 206",
            "address_purpose": "LOCATION",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "305-891-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N PALM AVE STE 211",
            "address_purpose": "LOCATION",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263204",
            "country_code": "US",
            "telephone_number": "954-447-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMMARTANO",
        "first_name": "RACHEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015374",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.