Individual provider Active NPI

Javier Cumerma, APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1346721610
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015811 Issued in FL
Practice address
4600 Military TRL
Jupiter, FL 33458-4810
Phone
(561) 625-9695
NPI assigned
Aug 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95018892 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015811 FL Primary

Addresses

Primary practice location

4600 Military TRL
Jupiter, FL 33458-4810

Mailing address

1310 SW 2ND CT Apt 213
Fort Lauderdale, FL 33312-7706
Phone (561) 625-9695

Other practice location 1

2801 NE 213th St Ste 1215
Aventura, FL 33180-1267
Phone (786) 648-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018892CAMDPsychiatric/Mental Health Nurse Practitioner
APRN11015811FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waterway Wellness & Psychiatry, LLC Psychiatric/Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fbh.javiercumerma@141363.advancedmd-direct.com

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1346721610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SW 2ND CT APT 213",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127706",
            "telephone_number": "561-625-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584810",
            "telephone_number": "561-625-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 NE 213th St Ste 1215",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801267",
            "country_code": "US",
            "telephone_number": "786-648-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMERMA",
        "first_name": "JAVIER",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018892",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.