Joerik Acevedo Medina, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

9376564 Issued in FL

Practice address

12200 Menta St Ste 105
Orlando, FL 32837-7540

Phone

(407) 757-2257

Fax

(407) 845-1102

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1386314938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 MENTA ST STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377540",
            "telephone_number": "407-757-2257",
            "fax_number": "407-845-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 MENTA ST STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377540",
            "telephone_number": "407-757-2257",
            "fax_number": "407-845-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO MEDINA",
        "first_name": "JOERIK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "FL",
            "license": "9376564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accurate Healthcare East Orlando Inc.
• Accurate Healthcare West Orlando Inc.
• Ace Behavior Alliance LLC
• April Lyn Ace, J.D., PH.D.
• Paola Michelle Acevedo Lorenzo, PHARMD
• Miguel Angel Acevedo Segui, MD
• Adriana Acevedo
• Aida Acevedo
• Gilfredy Acevedo, M.D.
• Javier Acevedo, M.D.

• Pediatric Registered Nurse in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.