Individual provider Active NPI

Sebastien Jolicoeur, APRN

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1568234573
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029339 Issued in FL
Practice address
3709 NW 202ND St
Miami Gardens, FL 33055-1430
Phone
(954) 381-6597
NPI assigned
Oct 23, 2023
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11029339 FL Primary

Addresses

Primary practice location

3709 NW 202ND St
Miami Gardens, FL 33055-1430

Mailing address

3709 NW 202ND St
Miami Gardens, FL 33055-1430
Phone (954) 381-6597

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
I20241101001696 FL Practitioner - Nurse Practitioner 0143753871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029339FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1568234573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 NW 202ND ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551430",
            "telephone_number": "954-381-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 NW 202ND ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551430",
            "telephone_number": "954-381-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLICOEUR",
        "first_name": "SEBASTIEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.