Individual provider Active NPI

Julissa Jimenez Escorcia, ARNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1023390937
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3411362 Issued in FL
Practice address
12295 Taft St
Pembroke Pines, FL 33026-1900
Phone
(954) 447-7771
Fax
(954) 447-7505
NPI assigned
Sep 16, 2011
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3411362 FL
Family Nurse Practitioner 363LF0000X APRN3411362 FL Primary

Addresses

Primary practice location

12295 Taft St
Pembroke Pines, FL 33026-1900

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

1150 N 35th Ave
Suite 575
Hollywood, FL 33021-5424
Phone (954) 265-3437 ext. 7478

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julissa_escorcia@mednax.com

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
I20120904000468 FL Practitioner - Nurse Practitioner 5092962647 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3411362FLMDFamily Nurse Practitioner
APRN3411362FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Dec 23, 2024 Accepting new patients

Locations

1150 N 35th Ave
Ste 490
Hollywood, FL 33021
Phone (954) 265-3437

3990 Sheridan St
Ste 108
Hollywood, FL 33021
Phone (954) 239-3355

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

12295 Taft St
Pembroke Pines, FL 33026
Phone (954) 276-9535

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1023390937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12295 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261900",
            "telephone_number": "954-447-7771",
            "fax_number": "954-447-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N 35th Ave",
            "address_2": "Suite 575",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215424",
            "country_code": "US",
            "telephone_number": "954-265-3437 x7478",
            "fax_number": "954-983-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCORCIA",
        "first_name": "JULISSA",
        "middle_name": "JIMENEZ",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3411362",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3411362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julissa_escorcia@mednax.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "12295 Taft St",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330261900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.