Jackson Memorial Hospital

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

License

ARNP2618882 Issued in FL

Legal business name

JACKSON MEMORIAL HOSPITAL

Practice address

1611 NW 12TH Ave
Miami, FL 33136-1005

Phone

(305) 585-6199

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Jacqueline Ferrer, ARNPNPI 1194801514

Title

Renal Management Arnp

Phone

(305) 585-6199

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Ferrer, ARNP

  • Adult Health Nurse Practitioner
  • Miami, FL
  • NPI 1194801514
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093899288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 SW 33RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452226",
            "telephone_number": "305-301-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "RENAL MANAGEMENT ARNP",
        "authorized_official_telephone_number": "305-585-6199",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "FL",
            "license": "ARNP2618882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Medical Center Corp
• Jackson Medical Office LLC
• Jackson Medical Therapy Center
• Jackson Mem Hos
• Jackson Memorial Hospital
• Jackson Memorial Hospital
• Jackson Memorial Hospital
• Jackson Memorial Hospital
• Jackson Memorial Hospital
• Jackson Memorial Hospital

• Chronic Disease Hospital in Miami, FL
• Providers in Miami, FL by specialty
• Chronic Disease Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.