Individual provider Active NPI

Jessica L Vora, NP

  • Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1841682739
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012485 Issued in IL
Practice address
3365 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4302
Phone
(561) 626-4000
Fax
(561) 626-8956
NPI assigned
Mar 2, 2015
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012485 IL Primary

Addresses

Primary practice location

3365 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4302

Mailing address

3365 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4302
Phone (561) 626-4000

Other identifiers 1

IdentifierTypeStateIssuer
020363500MedicaidFL

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209012485ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Roberts and Steiner 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1841682739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104302",
            "telephone_number": "561-626-4000",
            "fax_number": "561-626-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104302",
            "telephone_number": "561-626-4000",
            "fax_number": "561-626-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORA",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020363500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.