NPIMap

Individual provider Active NPI

Sherri Jubay, PA

  • Medical Physician Assistant
  • Saint Petersburg, FL
National Provider Identifier
1831155035
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9104648 Issued in FL
Practice address
881 Carillon Parkway Tower 4
Saint Petersburg, FL 33716
Phone
(727) 567-2160
Fax
(727) 567-2161
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9104648 FL Primary
Physician Assistant 363A00000X PA04290 TX

Addresses

Primary practice location

881 Carillon Parkway Tower 4
Saint Petersburg, FL 33716

Mailing address

881 Carillon Parkway Tower 4
Saint Petersburg, FL 33716
Phone (727) 567-2160

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
Florida Em-I Medical Services PA Past Accepting new patients
Maritime ER SVCS Partnership LLC Past Accepting new patients
Ilhan Yildiz M.D. Professional Association Past Accepting new patients
Benjamin J. Williams MD, PHD, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sherri.jubay.2@14940.direct.athenahealth.com

Organizations & group practices 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1831155035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 CARILLON PARKWAY TOWER 4",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33716",
            "telephone_number": "727-567-2160",
            "fax_number": "727-567-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 CARILLON PARKWAY TOWER 4",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33716",
            "telephone_number": "727-567-2160",
            "fax_number": "727-567-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBAY",
        "first_name": "SHERRI",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104648",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.