Active NPI
Jara Weiss, RN
- Registered Nurse
- Odessa, FL
National Provider Identifier
1730904590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9596142
- Practice address
- 13454 Batten LN
Odessa, FL 33556-3750 - Phone
- (646) 734-5585
- NPI assigned
- Nov 18, 2024
- Last updated
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9596142 | FL | Primary |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 9596142 | FL | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 9596142 | FL | |
| Home Health Registered Nurse | 163WH0200X | 9596142 | FL | |
| Hospice Registered Nurse | 163WH1000X | 9596142 | FL | |
| Infusion Therapy Registered Nurse | 163WI0500X | 9596142 | FL | |
| Nutrition Support Registered Nurse | 163WN1003X | 9596142 | FL | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 9596142 | FL | |
| Case Manager/Care Coordinator | 171M00000X | 95961242 | FL | |
| Health Educator | 174H00000X | 9596142 | FL | |
| Health & Wellness Coach | 171400000X | 9596142 | FL |
Addresses
Primary practice location
13454 Batten LN
Odessa, FL 33556-3750
Mailing address
13454 Batten LN
Odessa, FL 33556-3750
Phone (646) 734-5585
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9596142 | FL | MD | Health & Wellness Coach |
| 95961242 | FL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RJLN, LLC | Registered Nurse | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1730904590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13454 BATTEN LN",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563750",
"telephone_number": "646-734-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13454 BATTEN LN",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563750",
"telephone_number": "646-734-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "JARA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9596142",
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "9596142",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "FL",
"license": "9596142",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "9596142",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "FL",
"license": "9596142",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "FL",
"license": "9596142",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "FL",
"license": "9596142",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "FL",
"license": "9596142",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "95961242",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "FL",
"license": "9596142",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "FL",
"license": "9596142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.