Individual provider Active NPI

Jessica Albasha, D.O.

  • General Acute Care Hospital
  • Jupiter, FL
National Provider Identifier
1811239189
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
OS16211 Issued in FL
Practice address
3535 Military TRL Ste 200
Jupiter, FL 33458-5009
Phone
(561) 529-2283
NPI assigned
Mar 25, 2013
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU
General Acute Care Hospital 282N00000X OS16211 FL Primary

Addresses

Primary practice location

3535 Military TRL Ste 200
Jupiter, FL 33458-5009

Mailing address

4823 N Redwood Dr
Norridge, IL 60706-3116
Phone (708) 829-8275

Other practice location 1

4823 N Redwood Dr
Norridge, IL 60706-3116
Phone (708) 829-8275

Other identifiers 1

IdentifierTypeStateIssuer
OS16211OtherFLMEDICAL LICENSE

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16211FLMDGeneral Acute Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1811239189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 N REDWOOD DR",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607063116",
            "telephone_number": "708-829-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MILITARY TRL STE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585009",
            "telephone_number": "561-529-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4823 N Redwood Dr",
            "address_purpose": "LOCATION",
            "city": "Norridge",
            "state": "IL",
            "postal_code": "607063116",
            "country_code": "US",
            "telephone_number": "708-829-8275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBASHA",
        "first_name": "JESSICA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "OS16211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS16211",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.