Jasmine Patino

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111221 Issued in FL

Practice address

4515 Wiles Rd Ste 201
Coconut Creek, FL 33073

Phone

(954) 943-1133

NPI assigned

May 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Medication Assisted Recovery Institute, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Boca Raton, FL
  • NPI 1154967891
  Medicare reassignment
• Tele Med Clinix LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sanford, FL
  • NPI 1780204305
  Medicare reassignment
• Tele Med Clinix Lousiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1346085719
  NPD (past)

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

{
    "created_epoch": "1525564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1780173666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 WILES RD STE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 WILES RD STE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-943-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3973 Wiles Rd",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "33073",
            "country_code": "US",
            "telephone_number": "954-943-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10131 Forest Hill Blvd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146109",
            "country_code": "US",
            "telephone_number": "561-753-8366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3973 Wiles Rd",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "33073",
            "country_code": "US",
            "telephone_number": "954-943-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATINO",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-06",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Parker, RN
• Parkland Counseling
• Parkland Dermatology and Cosmetic Surgery
• Gisela Parra, BCBA
• Nicole Patalano
• Sandra Payoute
• Peak Wellness Collective LLC
• Joanne Pecuch, LCSW, PSY.D.
• Pediatric Specialty Group, Inc
• Nya Pelle

• Physician Assistant in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.