NPIMap

Organization Active NPI

Jackson Health System

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1639477789
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1896652 Issued in FL
Legal business name
JACKSON HEALTH SYSTEM
Practice address
16455 NE 6TH Ave
Miami, FL 33162-3675
Phone
(786) 955-6089
Fax
(786) 955-6091
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Ms. Clare May Pereira, ARNP
Title
FNP-BC, NP-C
Phone
(954) 632-9578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1896652 FL Primary

Addresses

Primary practice location

16455 NE 6TH Ave
Miami, FL 33162-3675

Mailing address

2034 NW 145TH Ave
Pembroke Pines, FL 33028-2864
Phone (305) 585-1140

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1639477789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 NW 145TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282864",
            "telephone_number": "305-585-1140",
            "fax_number": "305-585-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 NE 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623675",
            "telephone_number": "786-955-6089",
            "fax_number": "786-955-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "FNP-BC, NP-C",
        "authorized_official_telephone_number": "954-632-9578",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "1896652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 14, 2011; 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.