Jamie Lynn Innis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111601 Issued in FL

Practice address

314 Romano Ave
Coral Gables, FL 33134

Phone

(734) 660-0114

NPI assigned

Sep 11, 2018

Last updated

Oct 16, 2019By 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

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

Physician Assistant

Practice roles

Locations

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.

• Collins Physician Services, LLC

  • Hospitalist Physician
  • Miami Beach, FL
  • NPI 1457839524
  Medicare reassignment
• Coral Springs Physician Services, LLC

  • Hospitalist Physician
  • Coral Springs, FL
  • NPI 1134673767
  Medicare reassignment
• Terence Peppard, M.D.,P.a.

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
  • NPI 1992783385
  Medicare reassignment
• Florida Care Services, LLC

  • Internal Medicine Physician
  • Merritt Island, FL
  • NPI 1972175669

  Physician Assistant

  NPD

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1902389471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ROMANO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347246",
            "telephone_number": "734-660-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ROMANO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "734-660-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNIS",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skarly Itati Infante
• Informed Families
• Ingrid Roman PSYD PA
• Peter Inneh, MASTERS
• Innerconnections Developmental Specialists Inc.
• Inpatient Care Services LLC
• Insight 4 Success, Inc.
• Instituto Medico del Dolor LLC
• Integrated Dermatology of Coral Gables, LLC
• Integrative Health Care Institute LLC

• Physician Assistant in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.