Individual provider Active NPI

Jesus Serret Navarro

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1508306788
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024737 Issued in FL
Practice address
14303 SW 183Rd Ter
Miami, FL 33177-7650
Phone
(786) 760-9357
NPI assigned
Mar 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Family Nurse Practitioner 363LF0000X 11024737 FL Primary

Addresses

Primary practice location

14303 SW 183Rd Ter
Miami, FL 33177-7650

Mailing address

14303 SW 183Rd Ter
Miami, FL 33177-7650
Phone (786) 760-9357

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
I20230412001966 FL Practitioner - Nurse Practitioner 6507231156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11024737FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Medical Center LLC CurrentSince Mar 31, 2023 Accepting new patients
Ana Ansin, Inc Past Accepting new patients

Locations

2742 SW 8th St
Ste 11
Miami, FL 33135
Phone (786) 615-5819

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1508306788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14303 SW 183RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777650",
            "telephone_number": "786-760-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14303 SW 183RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777650",
            "telephone_number": "786-760-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRET NAVARRO",
        "first_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.