Individual provider Active NPI

Jeniffer Ricard

  • Administrator Registered Nurse
  • Miami, FL
National Provider Identifier
1174059752
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN9582983 Issued in FL
Practice address
840 SW 129TH PL
109
Miami, FL 33184-2187
Phone
(786) 515-8050
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN9582983 FL Primary
Certified Respiratory Therapist 227800000X TT14821 FL

Addresses

Primary practice location

840 SW 129TH PL
109
Miami, FL 33184-2187

Mailing address

840 SW 129TH PL
109
Miami, FL 33184-2187
Phone (786) 515-8050

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9582983FLMDAdministrator Registered Nurse
TT14821FLMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Health Care LLC Current Accepting new patients
South Florida Health Care LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1174059752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SW 129TH PL",
            "address_2": "109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842187",
            "telephone_number": "786-515-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SW 129TH PL",
            "address_2": "109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842187",
            "telephone_number": "786-515-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICARD",
        "first_name": "JENIFFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN9582983",
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "FL",
            "license": "TT14821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.