Individual provider Active NPI

Jennifer Garcia

  • Midwife
  • Pembroke Pines, FL
National Provider Identifier
1689912438
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
ARNP9190212 Issued in FL
Practice address
10067 Pines Blvd
B
Pembroke Pines, FL 33024-6136
Phone
(954) 430-7777
Fax
(954) 430-3667
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X ARNP9190212 FL Primary

Addresses

Primary practice location

10067 Pines Blvd
B
Pembroke Pines, FL 33024-6136

Mailing address

10067 Pines Blvd
B
Pembroke Pines, FL 33024-6136
Phone (954) 430-7777

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010000284 FL Practitioner - Certified Nurse Midwife (CNM) 5597053488 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9190212FLMDMidwife

Interoperability endpoints

  • Direct secure messaging: jennifer.garcia.1@15759.direct.athenahealth.com
  • Direct secure messaging: jgarcia95697@mhsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1689912438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10067 PINES BLVD",
            "address_2": "B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246136",
            "telephone_number": "954-430-7777",
            "fax_number": "954-430-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10067 PINES BLVD",
            "address_2": "B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246136",
            "telephone_number": "954-430-7777",
            "fax_number": "954-430-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "ARNP9190212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.