Individual provider Active NPI

Jessica Lynnette Maurtua, RCS

  • Sonography Specialist/Technologist Cardiovascular
  • Orlando, FL
National Provider Identifier
1861145849
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Practice address
9501 Bay Vista Estates Blvd
Orlando, FL 32836-6311
Phone
(321) 948-2747
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X Primary

Addresses

Primary practice location

9501 Bay Vista Estates Blvd
Orlando, FL 32836-6311

Mailing address

9501 Bay Vista Estates Blvd
Orlando, FL 32836-6311
Phone (321) 948-2747

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

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1861145849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 BAY VISTA ESTATES BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366311",
            "telephone_number": "321-948-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 BAY VISTA ESTATES BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366311",
            "telephone_number": "321-948-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURTUA",
        "first_name": "JESSICA",
        "middle_name": "LYNNETTE",
        "credential": "RCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.