Individual provider Active NPI

Damisela Amador Jimenez, ARNP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1124527734
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9393735 Issued in FL
Practice address
180 SW 84TH Ave Ste B
Plantation, FL 33324-2731
Phone
(954) 945-3510
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9393735 FL
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ARNP9393735 FL
Family Nurse Practitioner 363LF0000X ARNP9393735 FL Primary

Addresses

Primary practice location

180 SW 84TH Ave Ste B
Plantation, FL 33324-2731

Mailing address

10550 NW 77TH CT
Ste 308
Hialeah Gardens, FL 33016-2072
Phone (305) 300-0791

Other practice location 1

8300 W Flagler St Ste 210
Miami, FL 33144-6002
Phone (305) 553-0270

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9393735OtherFLDOH LICENSE

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
I20190221000039 FL Practitioner - Nurse Practitioner 5092053850 Reassigns benefits to 5 organizations
Practice locations: Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Wellness Institute Corp. 4 clinicians
Therapy Medical Rehabilitation Corp 3 clinicians
Mandl Integrated Social Services Inc 2 clinicians
Novo Medical Group LLC 8 clinicians
Miami Dade Medical and Rehabilitation Center Corp. 8 clinicians

Practice addresses (Care Compare)

1111 NW 22ND Ave
Miami, FL 33125-2738
Phone (754) 217-0411

1840 W 49TH St
Suite 607
Hialeah, FL 33012-2962
Phone (305) 527-7976

3971 SW 8TH St
Suite 206
Coral Gables, FL 33134-2950
Phone (786) 953-8847

7270 NW 12TH St
Suite 130
Miami, FL 33126-1928
Phone (305) 456-6997

760 NW 107TH Ave
Suite 406
Miami, FL 33172-3162
Phone (786) 334-6928

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9393735FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Wellness Institute Corp. Single Specialty CurrentSince Sep 15, 2024 Accepting new patients
Damador Inc Family Current Accepting new patients
Novo Medical Group LLC Single Specialty CurrentSince Jul 18, 2024 Accepting new patients
Royal Health Centers Inc CurrentSince Jun 8, 2025 Accepting new patients
Ebenezer Wellness Center Inc Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Adonai Medical Center, Inc. Single Specialty CurrentSince Jun 19, 2025 Accepting new patients
Therapy Medical Rehabilitation Corp Single Specialty CurrentSince Jan 23, 2024 Accepting new patients
Ucdm Services Inc PastSince Oct 1, 2020 Accepting new patients
Light of Hope Behavior Therapy Inc Single Specialty Past Accepting new patients
Angels Medical Service Inc. Single Specialty PastSince Aug 3, 2020 Accepting new patients
Neuromuscular Physical Therapy, Inc Single Specialty PastSince Apr 15, 2024 Accepting new patients

Locations

1200 NW 78th Ave
Ste 212
Doral, FL 33126
Phone (305) 597-3909

1200 NW 78th Ave
Ste 210
Doral, FL 33126
Phone (305) 551-3003

1840 W 49th St
Ste 607
Hialeah, FL 33012
Phone (305) 527-7976

1111 NW 22nd Ave
Miami, FL 33125
Phone (305) 530-8164

3119 Coral Way
Unit 3121A
Miami, FL 33145
Phone (786) 360-3213

1641 W Flagler St
Miami, FL 33135
Phone (786) 360-3213

7270 NW 12th St
Ste 130
Miami, FL 33126
Phone (786) 536-7009

7270 NW 12th St
Ste 130A
Miami, FL 33126
Phone (305) 456-6997

160 NW 176th St
Ste 309
Miami Gardens, FL 33169
Phone (305) 488-4550

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1124527734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT",
            "address_2": "STE 308",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162072",
            "telephone_number": "305-300-0791",
            "fax_number": "954-607-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SW 84TH AVE STE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242731",
            "telephone_number": "954-945-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 W Flagler St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331446002",
            "country_code": "US",
            "telephone_number": "305-553-0270",
            "fax_number": "305-553-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADOR JIMENEZ",
        "first_name": "DAMISELA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9393735",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9393735",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9393735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE",
            "identifier": "ARNP9393735",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.