Jacqueline Mesidor

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN1902418 Issued in FL

Practice address

7771 NW 13TH St
Pembroke Pines, FL 33024-5200

Phone

(754) 422-4851

NPI assigned

Nov 13, 2023

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1649044421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 PINES BLVD # 1380",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246609",
            "telephone_number": "754-422-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7771 NW 13TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245200",
            "telephone_number": "754-422-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIDOR",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN1902418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nubjai Merchan
• Romane Merilien, APRN
• Joelle Meristal, CRTT
• Adis Mesa Hernandez
• Betsy Mesa
• Michelle Messina, M.S.
• Melissa Mestre, PA-C
• Kerlande Metayer
• Metcare of Florida Inc. (Conviva South Pembroke)
• Diana Metrock

• Registered Nurse in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.