RIYA JACOB


Address: 1150 N 35th Avenue, Suite 605, Hollywood, FL 33021
Phone: 9544433542

RIYA JACOB (NPI# 1043635899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043635899
Entity Type Individual
Full Name RIYA JACOB
Practice Address 1150 N 35th Avenue
Suite 605
Hollywood
FL 33021
Mailing Address 2900 Corporate Way
Door D
Miramar
FL 33025-3925
Practice Telephone 9544433542
Mailing Telephone (954) 276-5685
Enumeration Date 2014-03-03
Last Update Date 2017-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP9274670 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1150 N 35TH AVENUE
SUITE 605
City HOLLYWOOD
State FL
Zip Code 33021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679523393 Patricia Joza Physician Assistant 1150 N 35th Avenue, Suite 445 Mark Lamet Md Pa, Hollywood, FL 33021 2006-05-11
1437600848 Melissa Haydee Diaz Nurse Practitioner 1150 N 35th Avenue, Suite 100, Hollywood, FL 33021 2016-10-20
1639629694 Jada Santos Psychologist 1150 N 35th Avenue, Ste 590, Hollywood, FL 33021 2016-10-13
1396292702 Krystina Serpa Registered Nurse 1150 N 35th Avenue, Ste 660, Hollywood, FL 33021 2016-09-01
1578924163 Miriam Yonina Ross Nurse Practitioner 1150 N 35th Avenue, Suite 590, Hollywood, FL 33021 2016-03-10
1225420441 Shari Selesky Physician Assistant 1150 N 35th Avenue, Ste 600, Hollywood, FL 33021 2015-02-25
1013308741 Austin Horner Physician Assistant 1150 N 35th Avenue, Ste 600, Hollywood, FL 33021 2015-02-17
1366785743 South Broward Hospital District Surgery 1150 N 35th Avenue, Ste 460, Hollywood, FL 33021 2013-04-03
1831418458 Armaal Rashard Hunter Physician Assistant 1150 N 35th Avenue, Suite 440, Hollywood, FL 33021-5430 2010-05-21
1982841599 Justin Michael Bartl Physician Assistant 1150 N 35th Avenue, Ste 600, Hollywood, FL 33021 2009-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548893894 Seminole Tribe of Florida Health Department Pharmacy 111 W. Coral Way, Hollywood, FL 33021 2020-02-14
1437714086 Emilia Roxana Gucciardo Physician Assistant 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 2019-05-08
1649763673 Sabrina Shoba Mathura Behavior Technician 4400 Madison St, Hollywood, FL 33021 2018-06-13
1558850149 South Broward Hospital District Pediatrics 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 2018-05-09
1942798368 Kyndra Monique Liburd Student in an Organized Health Care Education/Training Program Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 2018-05-01
1992292106 Madeleine Mariela Reyes Nurse Practitioner 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 2018-04-13
1487168233 Gynecologic Oncology & Urogynecology Obstetrics & Gynecology 1150 N 35th Ave Ste 670, Hollywood, FL 33021 2017-11-30
1245743012 Healix Healthcare Services, LLC Obstetrics & Gynecology 3990 Sheridan St Ste 207, Hollywood, FL 33021 2017-11-14
1093233587 Benjamin Laborde Physical Therapy Assistant 4200 Washington Street, Hollywood, FL 33021 2017-09-05
1477079358 Tt Trans, LLC Non-emergency Medical Transport (VAN) 3550 Washington Street, 502, Hollywood, FL 33021 2017-08-22
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215543947 Naomi Sarah Strong Nurse Practitioner 1643 Plunkett St Apt 2, Hollywood, FL 33020-6443 2020-09-17
1912512716 Jasmine Sicard Nurse Practitioner 4340 Sheridan St Unit 202, Hollywood, FL 33021-3567 2020-09-09
1740891514 Emelina Doana Biddy Nurse Practitioner 6740 Cleveland St, Hollywood, FL 33024-5739 2020-08-13
1912516139 Jp Rock Consulting Inc Nurse Practitioner 5619 Madison St, Hollywood, FL 33023 2020-07-23
1538703376 Heather Perkowski Nurse Practitioner 3800 Johnson St Ste D, Hollywood, FL 33021-6052 2019-11-05
1750840260 Catherine Pinillos Nurse Practitioner 2543 Adams St, Hollywood, FL 33020-5324 2019-03-14
1699245993 Farrah Ashley Abergel Nurse Practitioner 4340 Sheridan St Ste 202, Hollywood, FL 33021-3567 2018-11-29
1073020145 Carol Alejandra Parrales Nurse Practitioner 3850 Hollywood Blvd Fl 12, Hollywood, FL 33021-6748 2018-01-10
1750898060 Victoria June Haig Nurse Practitioner 4350 Sheridan St Ste 102, Hollywood, FL 33021-3556 2018-01-08
1942662218 Xavier P Yanez Nurse Practitioner 5920 Johnson St Ste 108-110, Hollywood, FL 33021-5652 2016-03-24
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Competitor

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City HOLLYWOOD
Zip Code 33021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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