Individual provider Active NPI

Claudia Vansoest, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1821263732
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2632 Issued in FL
Practice address
3033 Monument Rd Ste 20
Jacksonville, FL 32225-1779
Phone
(904) 642-1888
Fax
(904) 642-2019
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2632 FL Primary

Addresses

Primary practice location

3033 Monument Rd Ste 20
Jacksonville, FL 32225-1779

Mailing address

3033 Monument Rd Ste 20
Jacksonville, FL 32225-1779
Phone (904) 642-1888

Other identifiers 1

IdentifierTypeStateIssuer
304295200MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David Weiss Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1821263732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 MONUMENT RD STE 20",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322251779",
            "telephone_number": "904-642-1888",
            "fax_number": "904-642-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 MONUMENT RD STE 20",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322251779",
            "telephone_number": "904-642-1888",
            "fax_number": "904-642-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSOEST",
        "first_name": "CLAUDIA",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304295200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.