Jiroma, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9279002 Issued in FL

Legal business name

JIROMA, INC

Practice address

1080 Edgewood Ave S
Suite 7
Jacksonville, FL 32205-5393

Phone

(904) 384-9007

Fax

(904) 384-2899

NPI assigned

Sep 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. James Carlton Whited Jr., ARNP, BC, LMTNPI 1457668618

Title

President

Phone

(904) 384-9007

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James C Whited Jr., ARNP, LMT

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1457668618
  Medicare reassignment Authorized official
• Brenda Lee Murphy, APRN

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1720369820
  NPD (past)

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1265749428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050604",
            "telephone_number": "904-384-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 EDGEWOOD AVE S",
            "address_2": "SUITE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055393",
            "telephone_number": "904-384-9007",
            "fax_number": "904-384-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIROMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "WHITED",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-384-9007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ARNP, BC, LMT"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "FL",
            "license": "9279002",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "FL",
            "license": "9279002",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "9279002",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9279002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennelle Jimenez
• Kimberly M Jimenez, RN, NP
• Jessica Marie Jimerson
• Zachary J Jin, DMD
• Mara Jindeel, MD
• Benjamin R. Jivcu, D.O.
• Jlsolana Jr Inc
• JM Family Enterprises, Inc
• JM Family Enterprises, Inc.
• JM Family Enterprises, Inc.

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, 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 Jun 19, 2013; 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.