Jennifer Ezavin, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11024153 Issued in FL

Practice address

1421 E Oakland Park Blvd Ste 200
Oakland Park, FL 33334-4434

Phone

(954) 565-0875

Fax

(954) 565-0876

NPI assigned

May 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• PRM of Florida PA

  dba Pelvic Rehabilitation Medicine

  • Physical Medicine & Rehabilitation Physician
  • Coral Gables, FL
  • NPI 1982265914
  NPD (past)

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1235877606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E OAKLAND PARK BLVD STE 200",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344434",
            "telephone_number": "954-565-0875",
            "fax_number": "954-565-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E OAKLAND PARK BLVD STE 200",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344434",
            "telephone_number": "954-565-0875",
            "fax_number": "954-565-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZAVIN",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonnie Marc Epstein, M.D.
• Estrada Dental Studio LLC (Wiser Smiles)
• Et Health Holdings (Prevail Recovery Center)
• Sedney Etienne, DOM AP
• Excel Health Group, Inc
• Perpetua Nneka Ezeh-Aideyan, MD
• Elizabeth Fagerstrom, PHARMD
• Sam Famenini
• Family Foundation Center
• Family Medical Group Oakland LLC

• Family Nurse Practitioner in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.