Active NPI
Marie Rose Samuela Jasmin, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9294753
- Practice address
- 1500 N University Drive
Suite 202
Coral Springs, FL 33071 - Phone
- (954) 350-0747
- NPI assigned
- Oct 28, 2014
- Last updated
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9294753 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9294753 | FL | Primary |
Addresses
Primary practice location
1500 N University Drive
Suite 202
Coral Springs, FL 33071
Mailing address
1500 N University Dr Ste 202
Coral Springs, FL 33071-6072
Phone (954) 350-0747
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3160 Powerline Rd
Oakland Park, FL 33309-5911
Phone 3055761234282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9294753 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Mental Health Center, Inc. | Current | Accepting new patients | |
| Care Resource Community Health Centers, Inc | Current | Accepting new patients | |
| Care Resource Community Health Centers, Inc | Current | Accepting new patients | |
| Care Resource Community Health Centers, Inc. | Current | Accepting new patients | |
| One Place Psychiatric Care LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Luis Hines & Associates, PA | Psychiatric/Mental Health | Current | Accepting new patients |
| O Yes Medical Services Inc. | Past | Accepting new patients | |
| Care Resource Community Health Centers, Inc. | Past | Accepting new patients |
Locations
1500 N University Dr
Ste 202
Coral Springs, FL 33071
Phone (954) 350-0747
16158 S Military Trl
Delray Beach, FL 33484
Phone (561) 495-0522
2828 Coral Way
Ste 460
Miami, FL 33145
Phone (305) 642-5255
3510 Biscayne Blvd
Miami, FL 33137
Phone 3055761234282
1680 Michigan Ave
Ste 912
Miami Beach, FL 33139
Phone (305) 534-0503
12550 Biscayne Blvd
Ste 306
North Miami, FL 33181
Phone (305) 895-0504
3160 Powerline Rd
Oakland Park, FL 33309
Phone (305) 773-7844
5401 S Kirkman Rd
Ste 310
Orlando, FL 32819
Phone (305) 895-0504
871 W Oakland Park Blvd
Wilton Manors, FL 33311
Phone (954) 567-7141
Interoperability endpoints
- marierose.jasmin.p1@direct.careresource.nextgenshare.com
Organizations & group practices 8
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.
-
dba Care resource
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1053311373
-
dba Luis Hines and Associates PA
- Mental Health Counselor
- Coral Gables, FL
- NPI 1558357475
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Delray Beach, FL
- NPI 1033167721
-
- Psychiatric/Mental Health Nurse Practitioner
- Coral Springs, FL
- NPI 1194239327
-
- Federally Qualified Health Center (FQHC)
- Wilton Manors, FL
- NPI 1093717464
-
dba Care Resource Pharmacy Little Havana
- Community/Retail Pharmacy
- Miami, FL
- NPI 1164039798
-
- Community/Behavioral Health Agency
- Oakland Park, FL
- NPI 1720607377
-
- Specialist
- North Miami, FL
- NPI 1215912985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1336544733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N UNIVERSITY DR STE 202",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716072",
"telephone_number": "954-350-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N UNIVERSITY DRIVE",
"address_2": "SUITE 202",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33071",
"telephone_number": "954-350-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASMIN",
"first_name": "MARIE ROSE",
"middle_name": "SAMUELA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9294753",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9294753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
- Janelle Johnson MPT LLC
- Janice del Pilar (Janice Del Pilar, M.S.Ed., LMHC)
- Janna Health Care Group LLC (Imed Urgent Care)
- Gina Jannetty, SLP-A
- Janus Broward Corp
- Jason M Goldman MD PA
- Zarmina Javed, MD
- Jazmax Healthcare LLC (AFH Senior Care Coral Springs)
- Marie Victoire Jean-Benoit, D.P.M.
- Andrea Jean, BSN, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.