Individual provider Active NPI

Siji Jose, ARNP

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1972045235
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9252887 Issued in FL
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

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228000863 FL Practitioner - Nurse Practitioner 5294016580 Reassigns benefits to 4 organizations

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
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians
Ca Pacs 2 Medical Group IncGroup PAC ID 4981954476, 27 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

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 Home health agency, Port Charlotte, FL, CCN 108270
  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9252887FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Pacs 2 Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner CurrentSince Nov 14, 2016 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Nov 14, 2016 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.