Active NPI
Sandy Jean-Louis, PA-C
- Physician Assistant
- North Miami Beach, FL
National Provider Identifier
1841856838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9111872
- Practice address
- 150 NW 168TH St Ste 305
North Miami Beach, FL 33169-6051 - Phone
- (305) 944-8887
- NPI assigned
- May 15, 2019
- Last updated
- May 15, 2019
- 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 | 9111872 | FL | Primary |
Addresses
Primary practice location
150 NW 168TH St Ste 305
North Miami Beach, FL 33169-6051
Mailing address
1000 NE 151St St
North Miami Beach, FL 33162-5823
Phone (786) 707-0278
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9111872 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sussman & Staller MD PA | 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.
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1689733693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1841856838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NE 151ST ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331625823",
"telephone_number": "786-707-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 NW 168TH ST STE 305",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331696051",
"telephone_number": "305-944-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-LOUIS",
"first_name": "SANDY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9111872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.