Individual provider Active NPI

Jessica-Lynn Zaldivar, APRN, FNP-C

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1144845314
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007523 Issued in FL
Practice address
14575 NW 77TH Ave Ste 304
Miami Lakes, FL 33014-2549
Phone
(786) 474-4447
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9254344 FL
Family Nurse Practitioner 363LF0000X APRN11007523 FL Primary

Addresses

Primary practice location

14575 NW 77TH Ave Ste 304
Miami Lakes, FL 33014-2549

Mailing address

14575 NW 77TH Ave Ste 304
Miami Lakes, FL 33014-2549
Phone (786) 474-4447

Other practice location 1

3655 NW 87th Ave
Doral, FL 33178-2418
Phone (305) 406-4915

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
RN9254344FLMDPsychiatric/Mental Health Registered Nurse
APRN11007523FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1144845314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 NW 77TH AVE STE 304",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142549",
            "telephone_number": "786-474-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 NW 77TH AVE STE 304",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142549",
            "telephone_number": "786-474-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3655 NW 87th Ave",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782418",
            "country_code": "US",
            "telephone_number": "305-406-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZALDIVAR",
        "first_name": "JESSICA-LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9254344",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.