NPIMap

Organization Active NPI

Jackson Memorial

  • Critical Access Hospital
  • Miami Beach, FL
National Provider Identifier
1477641587
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2777352 Issued in FL
Legal business name
JACKSON MEMORIAL
Practice address
1401 Bay Rd
510
Miami Beach, FL 33139-3715
Phone
(305) 996-0948
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Kenneth James Miller, C.R.N.A.
Title
Staff C.R.N.a.
Phone
(305) 585-6586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 2777352 FL Primary

Addresses

Primary practice location

1401 Bay Rd
510
Miami Beach, FL 33139-3715

Mailing address

1401 Bay Rd
510
Miami, FL 33139-3715
Phone (305) 996-0948

National Provider Directory

National Provider Directory
Tax ID family
Jackson Health System2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477641587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BAY RD",
            "address_2": "510",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331393715",
            "telephone_number": "305-996-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BAY RD",
            "address_2": "510",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393715",
            "telephone_number": "305-996-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEMORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "STAFF C.R.N.A.",
        "authorized_official_telephone_number": "305-585-6586",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.R.N.A."
    },
    "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 Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.