Individual provider Active NPI

Patricia Jubreczki, ARNP

  • Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1861922411
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN9320989 Issued in FL
Practice address
5401 S Congress Ave Ste 102
Atlantis, FL 33462-6636
Phone
(561) 967-5033
Fax
(561) 649-1409
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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 RN9320989 FL Primary

Addresses

Primary practice location

5401 S Congress Ave Ste 102
Atlantis, FL 33462-6636

Mailing address

1724 Banyan Creek CT
Boynton Beach, FL 33436-4627
Phone (561) 721-5726

Other names 1

  • Mrs. Patricia Jubreczki Former name

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

State licenses

LicenseStateTypeSpecialty
RN9320989FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1861922411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 BANYAN CREEK CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364627",
            "telephone_number": "561-721-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 102",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626636",
            "telephone_number": "561-967-5033",
            "fax_number": "561-649-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBRECZKI",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9320989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "JUBRECZKI",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.