Individual provider Active NPI

Regine Joly, RN, MPH, CHES, CCM,

  • Case Management Registered Nurse
  • Miami, FL
National Provider Identifier
1336611995
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN2005292 Issued in FL
Practice address
8895 SW 136TH St
Miami, FL 33176-5816
Phone
(305) 256-5480
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN2005292 FL Primary

Addresses

Primary practice location

8895 SW 136TH St
Miami, FL 33176-5816

Mailing address

17521 SW 93Rd PL
Palmetto Bay, FL 33157-5768
Phone (305) 256-5480

Other identifiers 1

IdentifierTypeStateIssuer
01OtherFLMEDICARE

Other names 1

  • Miss Regine Jean-Pierre Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2005292FLMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Variety Children'S Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1336611995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 SW 93RD PL",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575768",
            "telephone_number": "305-256-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765816",
            "telephone_number": "305-256-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLY",
        "first_name": "REGINE",
        "credential": "RN, MPH, CHES, CCM,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN2005292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINE",
            "last_name": "JEAN-PIERRE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.