Nicole Leigh Rasmussen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115416 Issued in FL

Practice address

4410 Sheridan St Ste a
Hollywood, FL 33021-3553

Phone

(954) 989-3100

NPI assigned

Jan 9, 2022

Last updated

Jun 28, 2022By 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

State licenses

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.

• Joshua Z Steiner DO PA

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1366564726
  Medicare reassignment

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1932860186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213553",
            "telephone_number": "954-989-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213553",
            "telephone_number": "954-989-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiesha McCausland Raphael, M.D.
• Rapid Behavior Services Inc
• Willian Rapoport, O.D.
• David Bruce Rappaport, DMD
• Jeffrey Roland Rashbaum, D.D.S.
• Seyed Alipasha Rassouli, MD, FRCSC, FACS
• David Gregory Rathjens, LMHC
• Harishchandra Rathod, M.D.
• Carolina Raudez
• Leronne Jeanette Ravid

• Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.