Organization Active NPI

Jackson Memorial Hospital

  • General Acute Care Hospital
  • Miami, FL
National Provider Identifier
1225275639
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
ARNP 1145932 Issued in FL
Legal business name
JACKSON MEMORIAL HOSPITAL
Practice address
169 E Flagler St FL 11
Miami, FL 33131-1210
Phone
(786) 466-8381
Fax
(305) 381-6165
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Joan Pauline Henry, ARNP
Title
Arnp
Phone
(786) 466-8381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ARNP 1145932 FL Primary

Addresses

Primary practice location

169 E Flagler St FL 11
Miami, FL 33131-1210

Mailing address

16823 NW 53Rd Ave
Miami Gardens, FL 33055-4024
Phone (786) 466-8381

National Provider Directory

National Provider Directory

Locations

169 E Flagler St
Fl 11
Miami, FL 33131
Phone (786) 466-8381

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1225275639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16823 NW 53RD AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554024",
            "telephone_number": "786-466-8381",
            "fax_number": "305-381-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E FLAGLER ST FL 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311210",
            "telephone_number": "786-466-8381",
            "fax_number": "305-381-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "PAULINE",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "786-466-8381",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ARNP 1145932",
            "primary": true
        }
    ],
    "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 Jan 8, 2009; 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.