Active NPI
Jessa Carter, PA-C
- Surgical Physician Assistant
- New Haven, CT
National Provider Identifier
1760767925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4733
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (352) 267-1214
- NPI assigned
- Oct 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9106220 | FL | |
| Surgical Physician Assistant | 363AS0400X | 4733 | CT | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
777 Brickell Ave Apt 500-9722
Miami, FL 33131-2809
Phone (352) 267-1214
Other practice location 1
3319 State Road 7
Suite 313
Wellington, FL 33449-8094
Phone (561) 433-4444
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106220 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Neurosurgery | Surgical | Past | Accepting new patients |
Interoperability endpoints
- jessa.carter@hca4.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Surgical Physician Assistant
- Wellington, FL
- NPI 1477099596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1760767925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BRICKELL AVE APT 500-9722",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312809",
"telephone_number": "352-267-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "352-267-1214"
}
],
"practiceLocations": [
{
"address_1": "3319 State Road 7",
"address_2": "Suite 313",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334498094",
"country_code": "US",
"telephone_number": "561-433-4444",
"fax_number": "561-433-8877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "JESSA",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9106220",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "4733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.