Individual provider Active NPI

Monica F Jordan, CNM

  • Advanced Practice Midwife
  • Pembroke Pines, FL
National Provider Identifier
1477769115
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9203540 Issued in FL
Practice address
601 N Flamingo Rd
# 205
Pembroke Pines, FL 33028-1015
Phone
(954) 431-1211
Fax
(954) 431-1211
NPI assigned
May 16, 2007
Last updated
Apr 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP9203540 FL Primary

Addresses

Primary practice location

601 N Flamingo Rd
# 205
Pembroke Pines, FL 33028-1015

Mailing address

1873 NW 100TH Way
Pembroke Pines, FL 33024-1465
Phone (954) 431-1211

Other identifiers 1

IdentifierTypeStateIssuer
Y113POtherFLBCBS OF FL

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000100 FL Practitioner - Certified Nurse Midwife (CNM) 6608964168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Miami, LM Miller School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
400 Quality Women's Care of Florida LL
Hollywood, FL 33021-5429
Phone (954) 602-9723

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Aug 10, 2013 Accepting new patients
All Womens Healthcare of South Broward Inc Advanced Practice Midwife Past Accepting new patients
All Womens Healthcare of South Broward Inc Advanced Practice Midwife Past Accepting new patients

Locations

1150 N 35th Ave
Ste 400
Hollywood, FL 33021
Phone (954) 963-6363

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

601 N Flamingo Rd
Ste 205
Pembroke Pnes, FL 33028
Phone (954) 431-1211

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1477769115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 NW 100TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241465",
            "telephone_number": "954-431-1211",
            "fax_number": "954-431-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "# 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-431-1211",
            "fax_number": "954-431-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MONICA",
        "middle_name": "F",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9203540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Y113P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.