Jean Roland Colimon Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11003534 Issued in FL

Practice address

1721 SE 17TH St Apt 247
Fort Lauderdale, FL 33316-3092

Phone

(786) 487-6366

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Care Medical Group of FL, LLCGroup PAC ID 9638598576, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progressive Care Medical Group of FL, LLC

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1578194452
  Medicare reassignment Care Compare group
• Doctors House Calls of Florida, LLC

  dba House Calls Express

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1750756276
  Medicare reassignment NPD

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1134744527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 SE 17TH ST APT 247",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163092",
            "telephone_number": "786-487-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 SE 17TH ST APT 247",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163092",
            "telephone_number": "786-487-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIMON",
        "first_name": "JEAN",
        "middle_name": "ROLAND",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Joseph Coleman, D.O.
• Martin E Coleman, MD
• Mireille Antonine Coles, MD
• Kasey Colford
• Iseberte Colimon, APRN
• Jeanette Collado Mora
• Elias Collado, M.D.
• Ricardo Collazo
• Sylvia Collazo
• Yairy Marcela Collazos Woolnough

• Family Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Jun 11, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.