Jamilah Grant-Guimaraes, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME128091 Issued in FL

Practice address

789 S Federal Hwy
Fort Lauderdale, FL 33316-1245

Phone

(954) 315-5784

Fax

(954) 522-0755

NPI assigned

Nov 3, 2006

Reactivated

Jul 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jgrant-guimaraes@pa.trimed.direct-ci.com

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1164710935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD",
            "address_2": "SUITE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243920",
            "telephone_number": "954-315-5784",
            "fax_number": "954-522-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 S FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161245",
            "telephone_number": "954-315-5784",
            "fax_number": "954-522-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1164710935",
        "last_name": "GRANT-GUIMARAES",
        "first_name": "JAMILAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "deactivation_date": "2011-06-10",
        "reactivation_date": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME128091",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME128091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017383200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgrant-guimaraes@pa.trimed.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Pediatric Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "789 S Federal Hwy",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333161245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Granado Astudillo
• Dawn M Grandinetti, PSY.D.
• Thomas D Grandstaff
• Robert Anthony Granger III, MPH, CHES
• Andrea Marie Granston-Leslie, LMHC
• Arlene Grant
• Denise Rosita Grant, LCSW
• Marvel Lucretia Grant
• Nancy Elena Grant, LMHC
• Grateful Guidance LLC

• Pediatrics Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatrics Physician in Florida

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