Alicia Jimenez Aprn LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ALICIA JIMENEZ APRN LLC

Practice address

1000 W Pembroke Rd Ste 322
Hallandale Beach, FL 33009-2181

Phone

(954) 932-0299

Fax

(954) 932-0298

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Alicia Jimenez, APRN

Title

Owner/Provider

Phone

(954) 932-0299

Specialties & licenses 1

Addresses

Other names 1

• Florida FNP Doing business as

Locations

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1154902807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W PEMBROKE RD STE 322",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092181",
            "telephone_number": "954-932-0299",
            "fax_number": "954-932-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W PEMBROKE RD STE 322",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092181",
            "telephone_number": "954-932-0299",
            "fax_number": "954-932-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA JIMENEZ APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "954-932-0299",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida FNP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida FNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Hallandale Beach, FL
• Providers in Hallandale Beach, 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 Aug 23, 2021; 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.