Individual provider Active NPI

Barbara J Jaime, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1053139527
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035495 Issued in FL
Practice address
1759 N University Dr
Hollywood, FL 33024-3601
Phone
(954) 842-2175
Fax
(954) 842-2924
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11035495 FL Primary

Addresses

Primary practice location

1759 N University Dr
Hollywood, FL 33024-3601

Mailing address

13255 SW 97TH Ter
Miami, FL 33186-2219
Phone (786) 443-6090

Other practice location 1

4155 SW 130th Ave Ste 201
Miami, FL 33175-3417
Phone (305) 455-3500

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
I20241118000996 FL Practitioner - Nurse Practitioner 5890934301 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11035495FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC Current Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Maria Jjaime MD PA CurrentSince Oct 6, 2024 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1000 NW 57th Ct
Ste 400
Miami, FL 33126

4155 SW 130th Ave
Ste 201
Miami, FL 33175
Phone (305) 348-3627

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

Organizations & group practices 4

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1053139527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 SW 97TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862219",
            "telephone_number": "786-443-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 N UNIVERSITY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243601",
            "telephone_number": "954-842-2175",
            "fax_number": "954-842-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4155 SW 130th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753417",
            "country_code": "US",
            "telephone_number": "305-455-3500",
            "fax_number": "786-476-1783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIME",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.