Active NPI
Seema Jones, PAC
- Physician Assistant
- Viera, FL
National Provider Identifier
1790766939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103386
- Practice address
- 7125 Murrell Rd
Viera, FL 32940-7999 - Phone
- (321) 242-8790
- Fax
- (321) 751-9362
- NPI assigned
- Nov 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103386 | FL | Primary |
Addresses
Primary practice location
7125 Murrell Rd
Viera, FL 32940-7999
Mailing address
910 Maple Ridge Dr
Merritt Island, FL 32952-4172
Phone (321) 456-5688
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y09Z9 | Other | FL | FLORIDA BLUE |
| 292548600 | Medicaid | FL | |
| 9228859 | Other | FL | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1790766939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 MAPLE RIDGE DR",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524172",
"telephone_number": "321-456-5688",
"fax_number": "321-751-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 MURRELL RD",
"city": "VIERA",
"state": "FL",
"postal_code": "329407999",
"telephone_number": "321-242-8790",
"fax_number": "321-751-9362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SEEMA",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "Y09Z9",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292548600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9228859",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.