Jennifer T Penichet, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9328086 Issued in FL

Practice address

12600 Pembroke Rd
Suite 312
Miramar, FL 33027-2544

Phone

(954) 431-7681

Fax

(954) 431-7682

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1679943930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15476 NW 77TH CT",
            "address_2": "#609",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165823",
            "telephone_number": "786-303-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD",
            "address_2": "SUITE 312",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-431-7681",
            "fax_number": "954-431-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENICHET",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9328086",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9328086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pegasus Medical & Rehab Center Inc
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• Inalvis Pena Martinez
• Dayamis Penalver, APRN
• Claudia Penate Cabrera
• Wright C Penniman, D.O.
• Laura Pequeno, PHARM D.
• Sara Sofia Peralta
• Gloriayni Peraza Arias
• Sahily Perdomo

• Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.