Active NPI
Reginald Jerome, ARNP
- Family Nurse Practitioner
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1216329
- Practice address
- 2135 S Congress Ave Ste 4a
Palm Springs, FL 33406-7611 - Phone
- (561) 965-6333
- Fax
- (866) 678-3710
- NPI assigned
- Dec 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F1216329 | FL | Primary |
Addresses
Primary practice location
2135 S Congress Ave Ste 4a
Palm Springs, FL 33406-7611
Mailing address
7640 Belmonte Blvd
Margate, FL 33063-9311
Phone (786) 344-4089
Other practice location 1
8980 S US Highway 1 Ste 100
Port St Lucie, FL 34952-3482
Phone (772) 249-3938
Other practice location 2
1743 Park Center Dr Ste 300
Orlando, FL 32835-7621
Phone (561) 965-6333
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1216329 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Hearts Family Medical Centers, LLC | Current | Accepting new patients | |
| Family Health Care of Delray, Inc. | Past | Accepting new patients | |
| Amicus Medical Center LLC | Past | Accepting new patients |
Locations
1743 Park Center Dr
Ste 300
Orlando, FL 32835
Phone (407) 378-7169
2135 S Congress Ave
Ste 4A
Palm Springs, FL 33406
Phone (561) 965-6333
8980 S US Highway 1
Ste 100
Port St Lucie, FL 34952
Phone (772) 249-3938
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Palm Springs, FL
- NPI 1235557273
-
- Internal Medicine Physician
- Stuart, FL
- NPI 1033488382
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1386680932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1326583402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7640 BELMONTE BLVD",
"city": "MARGATE",
"state": "FL",
"postal_code": "330639311",
"telephone_number": "786-344-4089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 S CONGRESS AVE STE 4A",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334067611",
"telephone_number": "561-965-6333",
"fax_number": "866-678-3710"
}
],
"practiceLocations": [
{
"address_1": "8980 S US Highway 1 Ste 100",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349523482",
"country_code": "US",
"telephone_number": "772-249-3938",
"fax_number": "866-678-3710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1743 Park Center Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328357621",
"country_code": "US",
"telephone_number": "561-965-6333",
"fax_number": "866-678-3710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEROME",
"first_name": "REGINALD",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-28",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F1216329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
- Cindy Jean-Baptiste
- Odiel Jean-Baptiste, M.D.
- Patrick Jean-Louis, COTA
- Stevi Jenkins-Kelly, PHARMD
- Jennifer Estrada, Inc. (Counseling Works)
- JFK Medical Center Limited Partnership (HCA Florida JFK Hospital Wound Care Center)
- JFK Medical Center Limited Partnership (HCA Florida JFK Hospital Breast Center)
- JFK Medical Center Limited Partnership (HCA Florida JFK Hospital Weight Management Center)
- JFK Medical Center Limited Partnership (HCA Florida JFK Hospital Cancer Center)
- Maydel Jimenez Fernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.