Active NPI
Jessica Christina Rubin, NP
- Nurse Practitioner
- Longwood, FL
National Provider Identifier
1912768920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11000050
- Practice address
- 1320 S Grant St
Longwood, FL 32750-6534 - Phone
- (321) 662-2071
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11000050 | FL | Primary |
Addresses
Primary practice location
1320 S Grant St
Longwood, FL 32750-6534
Mailing address
1320 S Grant St
Longwood, FL 32750-6534
Phone (321) 662-2071
Other names 1
- Jessica Christina Nickerson
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1013 N State Rd
434 Suite 1060
Altamonte Springs, FL 32714-7078
Phone (407) 883-0908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Family Care LLC | Current | Accepting new patients |
Locations
1013 N State Road 434
Ste 1060
Altamonte Springs, FL 32714
Phone (407) 867-0008
2277 Lee Rd
Winter Park, FL 32789
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Atlamonte Springs, FL
- NPI 1174306542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1912768920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S GRANT ST",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327506534",
"telephone_number": "321-662-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 S GRANT ST",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327506534",
"telephone_number": "321-662-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "JESSICA",
"middle_name": "CHRISTINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11000050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "NICKERSON",
"middle_name": "CHRISTINA",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.