Active NPI
Fernando Jaramillo Correa
- Behavior Analyst
- Miami, FL
National Provider Identifier
1508480104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 12772 SW 209TH St
Miami, FL 33177-7412 - Phone
- (305) 794-2070
- NPI assigned
- May 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | FL | Primary |
Addresses
Primary practice location
12772 SW 209TH St
Miami, FL 33177-7412
Mailing address
12772 SW 209TH St
Miami, FL 33177-7412
Phone (305) 794-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020168700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | others | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U Personal Care, Inc | Current | Accepting new patients | |
| U Personal Care, Inc | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- In Home Supportive Care Agency
- Miami, FL
- NPI 1164062576
-
- In Home Supportive Care Agency
- Miami, FL
- NPI 1871142711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590883200000",
"number": "1508480104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12772 SW 209TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331777412",
"telephone_number": "305-794-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12772 SW 209TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331777412",
"telephone_number": "305-794-2070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO CORREA",
"first_name": "FERNANDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-31",
"last_updated": "2020-05-31",
"certification_date": "2020-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020168700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "others",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12772 SW 209th St",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331777412",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.