Individual provider Active NPI

Jordan Michelle Handin, DNP, APRN, CPNP-AC

  • Critical Care Pediatric Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1447834270
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
11012897 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 200
Fort Lauderdale, FL 33316-2521
Phone
(954) 763-2702
Fax
(954) 888-3961
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 11012897 FL Primary

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 200
Fort Lauderdale, FL 33316-2521

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 763-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215001700 FL Practitioner - Nurse Practitioner 9638560261 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012897FLMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince Oct 7, 2024 Accepting new patients
North Broward Hospital District Current Accepting new patients
North Broward Hospital District CurrentSince Oct 7, 2024 Accepting new patients
Nicklaus Children'S Pediatric Specialists, LLC CurrentSince Feb 1, 2026 Accepting new patients
Nicklaus Children'S Pediatric Specialists, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1625 SE 3rd Ave
Ste 200
Ft Lauderdale, FL 33316
Phone (954) 764-0921

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

1625 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 722-4950

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

Organizations & group practices 6

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1447834270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-763-2702",
            "fax_number": "954-888-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-763-2702",
            "fax_number": "954-888-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDIN",
        "first_name": "JORDAN",
        "middle_name": "MICHELLE",
        "credential": "DNP, APRN, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "FL",
            "license": "11012897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.