Individual provider Active NPI

Johan Mary Jimenez Casals, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1285110262
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9423594 Issued in FL
Practice address
4125 W 20TH Ave
Hialeah, FL 33012-5874
Phone
(305) 424-3120
Fax
(305) 424-3182
NPI assigned
Jul 13, 2018
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9423594 FL Primary

Addresses

Primary practice location

4125 W 20TH Ave
Hialeah, FL 33012-5874

Mailing address

4125 W 20TH Ave
Hialeah, FL 33012-5874
Phone (786) 853-7834

Other practice location 1

1645A SW 107th Ave
Miami, FL 33165-7344
Phone (786) 209-2140

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521001116 FL Practitioner - Nurse Practitioner 5991048670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9423594FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network Inc CurrentSince Mar 2, 2019 Accepting new patients
Citrus Health Network, Inc. CurrentSince Mar 2, 2019 Accepting new patients
Citrus Health Network Inc Current Accepting new patients
Citrus Health Network Inc Past Accepting new patients

Locations

4125 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3120

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

7150 W 20th Ave
Ste 201
Hialeah, FL 33016
Phone (305) 362-0606

1645 SW 107th Ave
#A
Miami, FL 33165
Phone (305) 424-3100

Interoperability endpoints

  • Direct secure messaging: citrusembrace@citrushealth.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1285110262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125874",
            "telephone_number": "786-853-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125874",
            "telephone_number": "305-424-3120",
            "fax_number": "305-424-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645A SW 107th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331657344",
            "country_code": "US",
            "telephone_number": "786-209-2140",
            "fax_number": "786-209-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ CASALS",
        "first_name": "JOHAN MARY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9423594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.