Jacqueline Jara, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11011063 Issued in FL

Practice address

7016 Beracasa Way
Boca Raton, FL 33433-3447

Phone

(786) 385-6903

NPI assigned

May 12, 2021

Last updated

May 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.jara.1@29290.direct.athenahealth.com

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.

• Pophealthcare, LLC

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1164943957

  Family

  Medicare reassignment NPD
• Pophealthcare, LLC

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1326617150
  NPD

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1841874120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 NW 58TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672728",
            "telephone_number": "786-385-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 BERACASA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333447",
            "telephone_number": "786-385-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARA",
        "first_name": "JACQUELINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "address_1": "7016 Beracasa Way",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334333447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janice Jacobs, PH.D., LLC
• David C. Jannotta, M.D.
• James C Jannotta, M.D.
• Patricia Janson, PSY.D.
• Caroline Elizabeth Jaquish, CNM
• Luz Estella Jaramillo
• Zoe Nicole Jarbath, B.B.A.
• Jarrod Friedman
• Evan Jarschauer, MAC, LMCH, CAP, MBA
• Frances E Jarsen, OTA

• Family Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.