Individual provider Active NPI

Jeri Lynn Klemme Zaiac, APRN, FNP-C,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1194386094
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11000398 Issued in FL
Practice address
861 Belle Meade Island Dr
Miami, FL 33138-5247
Phone
(305) 632-3963
NPI assigned
Jun 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 Nurse Practitioner 363LP0808X 11000398 FL Primary
Family Nurse Practitioner 363LF0000X 11000398 FL

Addresses

Primary practice location

861 Belle Meade Island Dr
Miami, FL 33138-5247

Mailing address

861 Belle Meade Island Dr
Miami, FL 33138-5247
Phone (305) 632-3963

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
11000398FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carma Health PA Past Accepting new patients
Carma Health, PLLC Past 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": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1194386094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 BELLE MEADE ISLAND DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331385247",
            "telephone_number": "305-632-3963",
            "fax_number": "305-757-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 BELLE MEADE ISLAND DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331385247",
            "telephone_number": "305-632-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMME ZAIAC",
        "first_name": "JERI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11000398",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000398",
            "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 Sep 1, 2020; 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.