Wilderne Jacques

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1550 S Dixie Hwy
Suite 214
Coral Gables, FL 33146-3078

Phone

(786) 536-9714

Fax

(786) 536-9833

NPI assigned

Nov 20, 2012

Sex

Female

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

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1427392018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S DIXIE HWY",
            "address_2": "SUITE 214",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463078",
            "telephone_number": "786-536-9714",
            "fax_number": "786-536-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S DIXIE HWY",
            "address_2": "SUITE 214",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463078",
            "telephone_number": "786-536-9714",
            "fax_number": "786-536-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "WILDERNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Jackman
• Adam David Jacobowitz, MD
• Catalina Rosa Jacobs-Fernandez, PSY.D.
• Taylor Jacobs
• Danny Jacomino
• Amanda Christine Jaeger, MA, BCBA
• Robert M Jaeger, D.O.
• Amy Jaffe, MS,RD,LD
• Jagua Pharmacy, Inc
• Jairos Medical Equipment Inc.

• Social Worker in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.