Organization Active NPI

Intensive Care Experts Health Network LLC

  • Acute Care Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1184596637
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
INTENSIVE CARE EXPERTS HEALTH NETWORK LLC
Practice address
3051 Buffalo Rd
Lawrenceburg, TN 38464-6189
Phone
(931) 762-7518
NPI assigned
Sep 23, 2025
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INTENSIVE CARE EXPERTS HEALTH NETWORK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Eric Jarquin
Title
Financial Controller
Phone
(954) 651-8332

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NU Primary
Cardiovascular Disease Physician 207RC0000X NU
Infectious Disease Physician 207RI0200X NU
Pulmonary Disease Physician 207RP1001X NU

Addresses

Primary practice location

3051 Buffalo Rd
Lawrenceburg, TN 38464-6189

Mailing address

701 N Federal Hwy
Hallandale Beach, FL 33009-2449
Phone (954) 482-4747

Other names 1

  • ICEHN TN Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251203002634 TN Part B Supplier - Clinic/Group Practice 6608195599 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrenceburg, TN

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Intensive Care Experts HLTH7 organizations share this tax ID, including this one
Part of
Intensive Care Experts HLTH

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 S Gloria St
Clewiston, FL 33440
Phone (863) 938-5123

2925 NE 199th St
Ste 101
Miami, FL 33180
Phone (305) 931-7424

Practitioners & affiliated clinicians

Practitioners 150

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 150

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1184596637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N FEDERAL HWY",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092449",
            "telephone_number": "954-482-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 BUFFALO RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384646189",
            "telephone_number": "931-762-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE CARE EXPERTS HEALTH NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTENSIVE CARE EXPERTS HEALTH NETWORK LLC",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "JARQUIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "954-651-8332"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICEHN TN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.