Individual provider Active NPI

Jalima Jimenez Morejon, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1093323107
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008298 Issued in FL
Practice address
8875 Hidden River Pkwy Ste 300
Tampa, FL 33637-2087
Phone
(866) 949-0108
NPI assigned
Jul 15, 2020
Reactivated
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X APRN11008298 FL Primary

Addresses

Primary practice location

8875 Hidden River Pkwy Ste 300
Tampa, FL 33637-2087

Mailing address

40 S Main St Ste 1300
Memphis, TN 38103-5513
Phone (866) 949-0108

Other practice location 1

2810 NW 13th St
Cape Coral, FL 33993-4881
Phone (817) 655-1595

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11008298FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shahzaib Mirza MD Medical Partners PA Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jalima.morejon.2@22854.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1093323107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST STE 1300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035513",
            "telephone_number": "866-949-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372087",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 NW 13th St",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339934881",
            "country_code": "US",
            "telephone_number": "817-655-1595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ MOREJON",
        "first_name": "JALIMA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "deactivation_date": "2021-09-10",
        "reactivation_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.