Kristopher Marcus Jabouin

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

7675 NW 20TH CT
Sunrise, FL 33322-3901

Phone

(954) 531-4707

NPI assigned

Dec 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1265947824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 NW 66TH AVE",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671407",
            "telephone_number": "954-531-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 NW 20TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223901",
            "telephone_number": "954-531-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABOUIN",
        "first_name": "KRISTOPHER",
        "middle_name": "MARCUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Izquierdo, DDS
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• J S Santos Inc
• J.P.a. Counseling, Inc
• Fanya Jabouin-Monnay, LMFT
• Amanda Lynn Jacob, CCC-SLP
• Merlyn Jacob
• Todd Jacobs, MD
• Janice Jacques, MD
• Jafco

• Other Technician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.