Angela Jaimes, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9331738 Issued in FL

Practice address

365 Wekiva Springs Rd Ste 231
Longwood, FL 32779-3690

Phone

(321) 413-1411

Fax

(321) 379-6923

NPI assigned

Sep 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1083083000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WEKIVA SPRINGS RD STE 231",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793690",
            "telephone_number": "321-413-1411",
            "fax_number": "321-379-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WEKIVA SPRINGS RD STE 231",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793690",
            "telephone_number": "321-413-1411",
            "fax_number": "321-379-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Menaul Blvd NE Ste 1027",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871103379",
            "country_code": "US",
            "telephone_number": "321-413-1411",
            "fax_number": "321-379-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "867 Boylston Street",
            "address_2": "5th floor Suite 1731",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02116",
            "country_code": "US",
            "telephone_number": "321-413-1411",
            "fax_number": "321-379-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 North Loop W Ste 300-14",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081664",
            "country_code": "US",
            "telephone_number": "321-413-1411",
            "fax_number": "321-379-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIMES",
        "first_name": "ANGELA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9331738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iyer Sankaran M.D.P.a.
• Ashleigh Rose Jachles, RCSWI
• Lija Jacob, NP
• Shiney Alex Jacob, PHD, DNP, MSHI, MPH,
• Kiana Nancy Jaime
• Mohit Jain, MD
• James J. Hynick, D.O., P.a.
• James K Shea MD Inc
• Lukasz K Janeczek, MD
• Saulius J Jankauskas, MD

• Family Nurse Practitioner in Longwood, FL
• Providers in Longwood, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.