Active NPI
Jacques Jean
- Home Health Registered Respiratory Therapist
- North Miami, FL
National Provider Identifier
1013002633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Respiratory Therapist
- License
- RT6007
- Practice address
- 12790 N.E 5TH Ave
North Miami, FL 33161-4706 - Phone
- (305) 807-0137
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Registered Respiratory Therapist | 2279H0200X | RT6007 | FL | Primary |
Addresses
Primary practice location
12790 N.E 5TH Ave
North Miami, FL 33161-4706
Mailing address
12790 N.E 5TH Ave
North Miami, FL 33161-4706
Phone (305) 807-0137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT6007 | FL | MD | Home Health Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013002633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12790 N.E 5TH AVE",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614706",
"telephone_number": "305-807-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12790 N.E 5TH AVE",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614706",
"telephone_number": "305-807-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "JACQUES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2279H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Home Health",
"state": "FL",
"license": "RT6007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.