Jordan J Augustin, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9351187 Issued in FL

Practice address

5100 N Federal Hwy Ste 100
Fort Lauderdale, FL 33308-3842

Phone

(754) 777-6304

NPI assigned

Oct 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  FL, Multi-Specialty

  Medicare reassignment NPD
• Advanced Regenerative Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1780465559

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1104336387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15385 SW 51ST ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312844",
            "telephone_number": "954-461-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N FEDERAL HWY STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083842",
            "telephone_number": "754-777-6304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Federal Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333051618",
            "country_code": "US",
            "telephone_number": "954-280-4025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4121 NW 5th St",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172250",
            "country_code": "US",
            "telephone_number": "954-797-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "83 Hanover Rd",
            "address_purpose": "LOCATION",
            "city": "Florham Park",
            "state": "NJ",
            "postal_code": "079321508",
            "country_code": "US",
            "telephone_number": "908-460-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "JORDAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01462500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9351187",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9351187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attune Precision Medical LLC
• Vivian Luisa Aubel, PA-C
• Audiology Services Company USA, LLC
• Angela Auerbach
• Arielle Augustin, OTR/L
• Louisena Emmanuella Augustin
• Margarette Augustin, ARNP
• Minacshee Carla Augustin, PT, DPT
• Tai Lyn Auras, FNP-BC
• Ciane Aurelhomme

• Psychiatric/Mental Health Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.