Individual provider Active NPI

Jami S Webster, M.D.

  • Pediatrics Physician
  • Saint Johns, FL
National Provider Identifier
1902049182
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME103394 Issued in FL
Practice address
2001 County Road 210 W Ste 200
St Johns, FL 32259-2063
Phone
(044) 508-1209
Fax
(904) 230-1066
NPI assigned
Apr 17, 2009
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME103394 FL Primary

Addresses

Primary practice location

2001 County Road 210 W Ste 200
St Johns, FL 32259-2063

Mailing address

2001 County Road 210 W Ste 200
St Johns, FL 32259-2063
Phone (044) 508-1209

Other identifiers 1

IdentifierTypeStateIssuer
003554500MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118001036 FL Practitioner - Pediatric Medicine 9537551890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME103394FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2021 Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Angel Kids PA PastSince Oct 1, 2021 Accepting new patients
Angel Kids PA Pediatrics PastSince Oct 1, 2021 Accepting new patients

Locations

13770 Beach Blvd
Ste 6
Jacksonville, FL 32224
Phone (904) 242-4220

2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270

Interoperability endpoints

  • Direct secure messaging: jami.webster.1@8967.direct.athenahealth.com

Organizations & group practices 5

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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1902049182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COUNTY ROAD 210 W STE 200",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592063",
            "telephone_number": "044-508-1209",
            "fax_number": "904-230-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COUNTY ROAD 210 W STE 200",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592063",
            "telephone_number": "044-508-1209",
            "fax_number": "904-230-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "JAMI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME103394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003554500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.