Active NPI
Jennifer Kouromihelakis, APRN,FNP-C
- Family Nurse Practitioner
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11008782
- Practice address
- 880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171 - Phone
- (866) 849-0692
- Fax
- (888) 973-8821
- NPI assigned
- Jan 31, 2014
- Last updated
- Feb 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31447 | SC | |
| Family Nurse Practitioner | 363LF0000X | APRN11008782 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 5023852 | NC | |
| Family Nurse Practitioner | 363LF0000X | NPPA074300 | PA | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP004510 | GA |
Addresses
Primary practice location
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000
Other names 1
- Jennifer Reyes Valdes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11008782 | FL | MD | Family Nurse Practitioner |
| GAA-NP004510 | GA | MD | Family Nurse Practitioner |
| 5023852 | NC | MD | Family Nurse Practitioner |
| NPPA074300 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Holdings Company LLC | Current | Accepting new patients | |
| Palm Medical Center Lakeland LLC | Current | Accepting new patients | |
| Palm Medical Center Little Havana, LLC | Current | Accepting new patients | |
| Palm Medical Centers | Current | Accepting new patients | |
| Devoted Medical Group Professional Corporation | Past | Accepting new patients |
Locations
2250 Osprey Blvd
Ste 101
Bartow, FL 33830
Phone (863) 533-4454
2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590
127 Ridge Center Dr
Davenport, FL 33837
Phone (863) 421-7400
6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920
135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728
5985 S Florida Ave
Lakeland, FL 33813
Phone (863) 254-1467
1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905
5035 E Busch Blvd
Ste 1B
Tampa, FL 33617
Phone (813) 988-4400
950 1st St S
Winter Haven, FL 33880
Phone (863) 293-7778
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Lakeland, FL
- NPI 1437650579
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Clinic/Center
- Miami, FL
- NPI 1497271118
-
- Clinic/Center
- Dade City, FL
- NPI 1952039562
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1235552969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 SW 145TH AVE STE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276171",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
}
],
"practiceLocations": [
{
"address_1": "1600 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338053019",
"country_code": "US",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOUROMIHELAKIS",
"first_name": "JENNIFER",
"credential": "APRN,FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "31447",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008782",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5023852",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "NPPA074300",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP004510",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "REYES VALDES",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.