Active NPI
Siji Jose, ARNP
- Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 9252887
- Practice address
- 400 N Ashley Dr
Ste 1625
Tampa, FL 33602-4300 - Phone
- (813) 289-6597
- Fax
- (800) 908-6613
- NPI assigned
- Nov 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | ARNP 9252887 | FL | Primary |
Addresses
Primary practice location
400 N Ashley Dr
Ste 1625
Tampa, FL 33602-4300
Mailing address
400 N Ashley Dr
Ste 1625
Tampa, FL 33602-4300
Phone (813) 289-6597
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
2029 Professional Ctr Dr
Orange Park, FL 32073-4461
Phone (865) 693-1000
22332 Vick St
Port Charlotte, FL 33980-2053
Phone (941) 627-5388
23013 Westchester Blvd
Port Charlotte, FL 33980-8448
Phone (865) 693-1000
23023 Westchester Blvd
Port Charlotte, FL 33980-8448
Phone (941) 315-6079
2500 Aaron St
Port Charlotte, FL 33952-6743
Phone (941) 787-3401
4325 Southpoint Blvd
Jacksonville, FL 32216-6166
Phone (904) 245-7620
7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064
Hospital & facility affiliations
- Amedisys Home Health
- Trilogy Home Healthcare
- Preferred Care Home Health Services
- Haven Home Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9252887 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ca Pacs 2 Medical Group Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Nurse Practitioner | Current | Accepting new patients |
| Florida Post Acute Medical Services 1 PA | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients |
Locations
21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825
401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600
4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620
9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311
42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771
4513 Executive Dr
Fl 2
Naples, FL 34119
1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777
2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063
777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322
2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Tampa, FL
- NPI 1255862439
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Nurse Practitioner
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1043392038
-
- Home Health Agency
- Venice, FL
- NPI 1518429166
-
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
-
- Home Health Agency
- Sarasota, FL
- NPI 1073751780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1972045235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N ASHLEY DR",
"address_2": "STE 1625",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024300",
"telephone_number": "813-289-6597",
"fax_number": "800-908-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N ASHLEY DR",
"address_2": "STE 1625",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024300",
"telephone_number": "813-289-6597",
"fax_number": "800-908-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "SIJI",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 9252887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.