Active NPI
Jackson Health System
- Critical Access Hospital
- Miami, FL
National Provider Identifier
1376681239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 2777352
- Legal business name
- JACKSON HEALTH SYSTEM
- Practice address
- 1611 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (305) 585-6586
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth James Miller Jr., CRNA
- Title
- Staff Crna
- Phone
- (305) 585-6586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 2777352 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
1401 Bay Rd
#510
Miami Beach, FL 33139-3715
Phone (305) 538-6586
National Provider Directory
National Provider Directory- Tax ID family
- Jackson Health System
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Critical Access Hospital
- Miami Beach, FL
- NPI 1477641587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376681239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 BAY RD",
"address_2": "#510",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331393715",
"telephone_number": "305-538-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-6586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "STAFF CRNA",
"authorized_official_telephone_number": "305-585-6586",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "FL",
"license": "2777352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.